Individual
IHOR BOHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29500 RYAN RD, C, WARREN, MI 48092
(586) 574-3050
(586) 574-3051
Mailing address
29500 RYAN RD, SUITE C, WARREN, MI 48092
(586) 574-3050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012457
MI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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