Individual
GEORGI TALMAZOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 BAY ST, EASTON, MD 21601-2783
(410) 820-9599
Mailing address
218 BAY ST, EASTON, MD 21601-2783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416687
VA
122300000X
Dentist
36537
TX
1223P0700X
Prosthodontics
Primary
18315
MD
1223P0700X
Prosthodontics
DEN2000179
DC
Other
Enumeration date
09/09/2020
Last updated
09/07/2024
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