Organization
ZDENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY NURMINSKY DDS PHD (OWNER)
(508) 904-5287
Entity
Organization
Contact information
Practice address
1522 POINTER RIDGE PL, SUITE K, BOWIE, MD 20716-1875
(508) 904-5287
Mailing address
1612 CHARMUTH RD, LUTHERVILLE, MD 21093-5757
(508) 904-5287
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15795
MD
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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