Most Relevant Information
Provider Data
| NPI Number: | 1003439266 |
| Provider Name: | TETYANA KORCHYNSKYY DMD, MSD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 00204187 |
Most Important Dates
| Enumeration Date: | 05/22/2020 |
| Last Updated: | 05/22/2020 |
Provider Practice Location
1694 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS
CO
809064050
Practice Location Phone/Fax
| Phone: | 7195384671 |
| Fax: |
Provider Mailing Location
1694 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS
CO
809064050
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |