Individual
OREST G KOMARNYCKYJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1277 E MISSOURI AVE, SUITE 208, PHOENIX, AZ 85014-2915
(602) 266-3430
(602) 266-7519
Mailing address
1277 E MISSOURI AVE, SUITE 208, PHOENIX, AZ 85014-2915
(602) 266-3430
(602) 266-7519
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D2707
AZ
Other
Enumeration date
05/01/2007
Last updated
11/22/2010
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