Individual
DR. PAVEL Y IVASHCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
353 YORK ST FRNT, GETTYSBURG, PA 17325-1955
(717) 334-8193
Mailing address
5215 WINDING WAY, HARRISBURG, PA 17109-6343
(717) 576-3094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040872
PA
Other
Enumeration date
05/24/2016
Last updated
03/30/2017
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