# YEKATERINA MAMCHUR DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336338227
- **Authorized official:** YEKATERINA MAMCHUR DDS (PRESIDENT)
- **Authorized official phone:** (301) 762-3460

## Contact information

- **Practice address:** 51 MONROE PLACE, SUITE 607, ROCKVILLE, MD 20850
- **Practice address phone:** (301) 762-3460
- **Practice address fax:** (301) 762-3461
- **Mailing address:** 51 MONROE PLACE, SUITE 607, ROCKVILLE, MD 20850
- **Mailing address phone:** (301) 762-3460
- **Mailing address fax:** (301) 762-3461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 13257 | MD | Yes |

## Other

- **Enumeration date:** 10/17/2007
- **Last updated:** 10/17/2007