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Organization
NOVA DENTAL PC
Active
Organization
NOVA DENTAL PC
Active
Other names
Park Heights Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY NOVA DDS (PRESIDENT)
(443) 465-2047
Entity
Organization
Contact information
Practice address
4 PARK CENTER CT, SUITE # 201, OWINGS MILLS, MD 21117-5611
(410) 363-6868
(410) 363-6944
Mailing address
4 PARK CENTER CT, SUITE # 201, OWINGS MILLS, MD 21117-5611
(410) 363-6868
(410) 363-6944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11190
MD
122300000X
Dentist
16079
MD
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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