Individual
DR. DMITRIY KRAVCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD DO
Contact information
Practice address
1937 N MILITARY TRL STE U, WEST PALM BEACH, FL 33409-4764
(561) 468-5913
Mailing address
1937 N MILITARY TRL STE U, WEST PALM BEACH, FL 33409-4764
(561) 468-5913
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN23208
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2017
Last updated
06/17/2022
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