Individual
POLINA KOPII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 BLACKWELL RD STE 310, ROCKVILLE, MD 20850-6710
(240) 428-7311
Mailing address
9756 ATHLETIC WAY, GAITHERSBURG, MD 20878-5377
(503) 995-5623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18037
MD
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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