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Individual

DR. NIKOLAY DIMITROV MOLLOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
13975 CONNECTICUT AVE, SUITE 200-201, SILVER SPRING, MD 20906-2921
(301) 460-1212
(301) 603-0861
Mailing address
12 S VAN DORN ST, APT. V604, ALEXANDRIA, VA 22304-4254
(703) 862-5959

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401413531
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15082
MD

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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