Individual
DR. VADIM L SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6251 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3906
(240) 242-4737
(240) 242-4750
Mailing address
6251 EXECUTIVE BLVD, ROCKVILLE, MD 20852-3906
(240) 242-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13921
MD
Other
Enumeration date
11/22/2006
Last updated
07/22/2011
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