Individual provider · Type 1 NPI

Ruslan Fomenko, DMD

General Practice Dentistry · Traverse City, MI

NPI number 1548002256 Active

About NPI 1548002256

Ruslan Fomenko, DMD's National Provider Identifier is 1548002256, issued on Jun 12, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Traverse City, MI. The record was last updated on Jun 12, 2024.