Organization
NOVA DENTAL PC
Active
Other names
Park Heights Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY NOVA DDS (PRESIDENT)
(443) 465-2047
Entity
Organization
Contact information
Practice address
4 PARK CENTER CT, SUITE # 201, OWINGS MILLS, MD 21117-5611
(410) 363-6868
(410) 363-6944
Mailing address
4 PARK CENTER CT, SUITE # 201, OWINGS MILLS, MD 21117-5611
(410) 363-6868
(410) 363-6944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11190
MD
122300000X
Dentist
16079
MD
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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