Individual
DR. CHAVIVA GOLOMBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2730 HANOVER PIKE, MANCHESTER, MD 21102-1914
(410) 374-4882
(410) 374-0702
Mailing address
6416 ELRAY DR APT D, BALTIMORE, MD 21209-2934
(917) 494-8634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952525438
DENTAL
MD
Enumeration date
10/20/2020
Last updated
11/27/2023
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