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1548002256
RUSLAN FOMENKO
TRAVERSE CITY, MI
NPI
1548002256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 2901602281)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
RUSLAN FOMENKO DMD
2815 GARFIELD RD N
TRAVERSE CITY, MI 49686-5005
Phone number: 231-947-4380
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Mailing Address
RUSLAN FOMENKO DMD
2815 GARFIELD RD N
TRAVERSE CITY, MI 49686-5005
Phone number: 231-947-4380
Copy
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