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1548684707
IVAN LUKACHYNETS
STONY BROOK, NY
NPI
1548684707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 058238)
Enumeration Date
2014-02-09
Last Update Date
2015-08-26
Business Address
Dr. IVAN LUKACHYNETS DDS
100 NICOLLS RD
STONY BROOK, NY 11790-3407
Phone number: 631-632-8900
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Mailing Address
Dr. IVAN LUKACHYNETS DDS
100 NICOLLS RD
STONY BROOK, NY 11790-3407
Phone number: 631-632-8900
Copy
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