Individual
YELENA KHOLODENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
412 MALCOLM DR, SUITE 208, WESTMINSTER, MD 21157-6115
(410) 848-7060
Mailing address
3 ROZINA CT, OWINGS MILLS, MD 21117-1317
(410) 356-1224
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14164
MD
Other
Enumeration date
10/14/2010
Last updated
06/24/2013
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