| Barysenka Llc | |
|
124 N California St Sycamore IL 60178-1402 | |
| (815) 895-7660 | |
| Not Available |
| Full Name | Barysenka Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 124 N California St, Sycamore, Illinois |
| Authorized Official Name and Position | Piotr Barysenka (PRESIDENT) |
| Authorized Official Contact | 8184069898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barysenka Llc 124 N California St Sycamore IL 60178-1402 Ph: (815) 895-7660 | Barysenka Llc 124 N California St Sycamore IL 60178-1402 Ph: (815) 895-7660 |
| NPI Number | 1407409071 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407409071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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