| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 06/03/2022 |
| Medicare PECOS PAC ID | 1052699253 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740584481 PECOS PAC ID: 2860781523 Enrollment ID: I20220714003005 |
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