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Organization

CENTENNIAL DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETRO TYMIUK DDS (DENTIST)
(410) 480-2710
Entity
Organization

Contact information

Practice address
10318A BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(410) 480-2710
Mailing address
10318A BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-2128
(410) 480-2710

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/01/2023
Last updated
12/01/2023
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