| Nova Dental Pc | |
|
4 Park Center Ct Suite # 201 Owings Mills MD 21117-5611 | |
| (410) 363-6868 | |
| (410) 363-6944 |
| Full Name | Nova Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 4 Park Center Ct, Owings Mills, Maryland |
| Authorized Official Name and Position | Dmitry Nova (PRESIDENT) |
| Authorized Official Contact | 4434652047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental Pc 4 Park Center Ct Suite # 201 Owings Mills MD 21117-5611 Ph: (410) 363-6868 | Nova Dental Pc 4 Park Center Ct Suite # 201 Owings Mills MD 21117-5611 Ph: (410) 363-6868 |
| NPI Number | 1508210857 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508210857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16079 (Maryland) | Secondary |
| 122300000X | Dentist | 11190 (Maryland) | Primary |
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