Ekaterina Tomenko Dds Llc | |
10230 New Hampshire Ave Suite 330 Silver Spring MD 20903-1400 | |
(301) 439-8333 | |
(301) 439-4622 |
Full Name | Ekaterina Tomenko Dds Llc |
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Speciality | Dentist |
Location | 10230 New Hampshire Ave, Silver Spring, Maryland |
Authorized Official Name and Position | Ekaterina Y Tomenko (DOCTOR/MANAGER) |
Authorized Official Contact | 3014398333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ekaterina Tomenko Dds Llc 10230 New Hampshire Avenue Suite 330 Silver Spring MD 20903 Ph: (301) 439-8333 | Ekaterina Tomenko Dds Llc 10230 New Hampshire Ave Suite 330 Silver Spring MD 20903-1400 Ph: (301) 439-8333 |
NPI Number | 1730536863 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 06/03/2022 |
Medicare PECOS PAC ID | 1052699253 |
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Medicare Enrollment ID | O20220714002799 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730536863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14794 (Maryland) | Primary |
Provider Name | Ekaterina Tomenko |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1740584481 PECOS PAC ID: 2860781523 Enrollment ID: I20220714003005 |
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