Organization
SHPAK FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRIY SHPAK DDS (OWNER DENTIST)
(541) 740-9798
Entity
Organization
Contact information
Practice address
14666 W MAIN ST, CUT OFF, LA 70345-3208
(985) 632-6188
Mailing address
14666 W MAIN ST, CUT OFF, LA 70345-3208
(985) 632-6188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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