DMITRIY SHPAK

CUT OFF, LA
NPI1922617752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7126)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MO  2020024031)
Enumeration Date2020-07-28
Last Update Date2025-02-21
Business Address
Dr. DMITRIY SHPAK DDS
14666 W MAIN ST
CUT OFF, LA 70345-3208
Phone number: 985-632-6188
Mailing Address
Dr. DMITRIY SHPAK DDS
14666 W MAIN ST
CUT OFF, LA 70345-3208
Phone number: 985-632-6188