Individual
DMITRY Y. TSVETOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
73C WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 725-6525
(978) 725-6550
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855583
MA
390200000X
Student in an Organized Health Care Education/Training Program
20902
TX
Other
Enumeration date
06/09/2007
Last updated
09/21/2012
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