Individual
DR. OREST M BALYTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1436 PROFESSIONAL DR, SUITE 304, PETALUMA, CA 94954-6697
(707) 763-2170
(707) 763-7077
Mailing address
1436 PROFESSIONAL DR, SUITE 304, PETALUMA, CA 94954-6697
(707) 763-2170
(707) 763-7077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52184
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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