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Individual
DR. MARK ROY ZEMANOVICH
Active
Individual
DR. MARK ROY ZEMANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401411115
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401411115
DENTAL LICENSE
VA
Enumeration date
09/03/2006
Last updated
07/08/2007
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