Individual
KOSTYANTYN BAYDYUK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3049 N HIGH SCHOOL RD, SPEEDWAY, IN 46224-2001
(317) 293-0471
(317) 293-0472
Mailing address
3049 N HIGH SCHOOL RD, SPEEDWAY, IN 46224-2001
(317) 293-0471
(317) 293-0472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010696A
IN
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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