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Individual

OLEKSIY MOTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
626 2ND AVE S, OKANOGAN, WA 98840-0521
(509) 476-4400
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 422-8632

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE60983550
WA
1223G0001X
General Practice Dentistry
Primary
DE60983550
WA
1223P0221X
Pediatric Dentistry
DE60983550
WA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
DE60983550
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609804392
WA
Enumeration date
07/31/2019
Last updated
02/06/2025
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