Individual
DR. DMITRIY VLADIMIR DENISSENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 RABON RD, COLUMBIA, SC 29203-8900
(803) 865-0645
(803) 865-5015
Mailing address
700 RABON RD, COLUMBIA, SC 29203-8900
(803) 865-0645
(803) 865-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.4709 GD
SC
Other
Enumeration date
06/15/2010
Last updated
02/12/2015
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