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Individual
AIDAN DMITRIEV
Active
Individual
AIDAN DMITRIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14273497-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
RS2025-0276
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
06/03/2026
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