| Doctor Name: | DMITRY Y. TSVETOV |
| NPI Number: | 1689877284 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS, MD |
| License Number: | 20902 |
| Business Practice Address: | 73c Winthrop Ave Lawrence, MA - 018433716 |
| Business Phone Number: | 9787256525 |
| Business Fax Number: | 9787256550 |
| Mailing Address: | 201 W 8th St, Suite 810 PUEBLO |
| State: | CO |
| Postal Code: | 810033038 |
| Phone Number: | 7195624447 |
| Fax Number: | 7195831801 |
| NPI Enumeration Date: | 06/09/2007 |
| NPI Last Update Date: | 09/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 20902 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |