Individual
ANDRII SHPORTKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
145 WALGROVE AVE, DOBBS FERRY, NY 10522-3106
(847) 987-0079
Mailing address
145 WALGROVE AVE, DOBBS FERRY, NY 10522-3106
(847) 987-0079
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059514-01
NY
Other
Enumeration date
02/25/2016
Last updated
09/19/2024
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