Individual
IVAN BORYSYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2757 GREEN SPRINGS HWY, BIRMINGHAM, AL 35209-4903
(205) 379-7020
Mailing address
2757 GREEN SPRINGS HWY, BIRMINGHAM, AL 35209-4903
(561) 502-6957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006922-C1
AL
Other
Enumeration date
06/28/2021
Last updated
09/29/2021
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