Individual
IGOR SITNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 E ELLENDALE AVE STE 4, DALLAS, OR 97338-1523
(503) 967-8185
Mailing address
244 E ELLENDALE AVE STE 4, DALLAS, OR 97338-1523
(503) 967-8185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10276
OR
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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