Dr. Dmitriy Kravchenko, DMD DO
Oral & Maxillofacial Surgery in West Palm Beach, FL. Individual provider (NPI-1).
NPI number1669901153
StatusActive
Last updated in NPPESJun 17, 2022
Details
- NPI
- 1669901153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dmitriy Kravchenko
- Credential
- DMD DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2017
- Certification date
- Jun 16, 2022
- Last updated
- Jun 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | DN23208 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1937 N Military Trl Ste UWest Palm Beach, FL 33409-4764
Phone 561-468-5913
Mailing address
1937 N Military Trl Ste UWest Palm Beach, FL 33409-4764
Phone 561-468-5913
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