| Westminster Endodontics | |
|
412 Malcolm Dr Suite 304 Westminster MD 21157-6115 | |
| (410) 848-7060 | |
| Not Available |
| Full Name | Westminster Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 412 Malcolm Dr, Westminster, Maryland |
| Authorized Official Name and Position | Yelena Kholodenko (OWNER) |
| Authorized Official Contact | 4108487060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westminster Endodontics 412 Malcolm Dr Suite 304 Westminster MD 21157-6115 Ph: (410) 848-7060 | Westminster Endodontics 412 Malcolm Dr Suite 304 Westminster MD 21157-6115 Ph: (410) 848-7060 |
| NPI Number | 1740629781 |
|---|---|
| Provider Enumeration Date | 06/24/2013 |
| Last Update Date | 08/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740629781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 14164 (Maryland) | Primary |
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