Provider Demographics
NPI:1588639868
Name:DANKULICH-HURYN, TATYANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:TATYANA
Middle Name:
Last Name:DANKULICH-HURYN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BAVARIA DENTAC ATTN MS FRENCH
Mailing Address - Street 2:CMR 475
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09036
Mailing Address - Country:US
Mailing Address - Phone:4-993-1889
Mailing Address - Fax:7718
Practice Address - Street 1:BAVARIA DENTAC ATTN MS FRENCH
Practice Address - Street 2:CMR 475
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09036
Practice Address - Country:US
Practice Address - Phone:4-993-1889
Practice Address - Fax:7718
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0222101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice