Individual
DR. DMITRIY SHPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
2020024031
MO
1223G0001X
General Practice Dentistry
Primary
7126
LA
Other
Enumeration date
07/28/2020
Last updated
02/21/2025
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