Ilya Marchenko, DMD Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI

1871287789

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D1407 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2023-06-05

Last updated

2023-08-17