Individual
DARRYL B TKACHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4434 UNIVERSITY PKWY, SUITE G, SAN BERNARDINO, CA 92407-4681
(909) 887-1533
Mailing address
25257 HURON ST, LOMA LINDA, CA 92354-3600
(909) 709-9757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49814
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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