Individual
DR. TARAS MARTYNIOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030683
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.030683
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
108875
CA
Other
Enumeration date
09/01/2016
Last updated
07/07/2026
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