Individual
DR. ROMAN SHIMONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8601 LA SALLE RD, TOWSON, MD 21286-2004
(410) 296-5740
Mailing address
1211 S CONKLING ST APT 233, BALTIMORE, MD 21224-5353
(443) 604-9109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18176
MD
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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