Individual
DR. IGOR RISTEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
233 E. 84TH DRIVE, SUITE 106, MERRILLVILLE, IN 46410-6465
(219) 736-2309
(219) 736-2328
Mailing address
233 E. 84TH DRIVE, SUITE 106, MERRILLVILLE, IN 46410-6465
(219) 736-2309
(219) 736-2328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011692A
IN
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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