# GEORGI TALMAZOV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710592522
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401416687 | VA | — |
| 122300000X | Dentist | 36537 | TX | — |
| 1223P0700X | Prosthodontics | 18315 | MD | Yes |
| 1223P0700X | Prosthodontics | DEN2000179 | DC | — |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 09/07/2024