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Organization
NOW DENTAL
Active
Organization
NOW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM SKORMIN DDS (PRESIDENT)
(832) 932-3959
Entity
Organization
Contact information
Practice address
1001 S EGRET BAY BLVD, SUITE # 201, LEAGUE CITY, TX 77573-5799
(832) 932-3959
(832) 932-3198
Mailing address
1001 S EGRET BAY BLVD, SUITE # 201, LEAGUE CITY, TX 77573-5799
(832) 932-3959
(832) 932-3198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003955378
—
NY
Enumeration date
09/15/2016
Last updated
09/15/2016
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