Individual
DMITRY BONDARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 FAIRFAX AVE, NORFOLK, VA 23507-2007
(757) 446-5910
Mailing address
735 FAIRFAX AVE STE 1017C, NORFOLK, VA 23507-2007
(757) 446-5910
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116039970
VA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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