Dmitriy Vladimir Denissenko DMD

NPI 1184945008 - Dentist - 1223G0001X

NPI Details
NPI 1184945008
Gender Male
Enumeration Date 06/15/2010
Last Updated 02/12/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
700 RABON RD
COLUMBIA SC, 29203-8900, US
Phone (803) 865-0645
Fax (803) 865-5015
Business Location
700 RABON RD
COLUMBIA SC, 29203-8900, US
Phone (803) 865-0645
Fax (803) 865-5015
Toxanomy
Taxonomy Code 1223G0001X
License State South Carolina
License Number DGD.4709 GD
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According to our database, Dr. Dmitriy Vladimir Denissenko DMD NPI is 1184945008, taxonomy code is 1223G0001X and license number is DGD.4709 GD, license state is located at South Carolina. Dmitriy Vladimir Denissenko DMD physically located at 700 Rabon Rd, Columbia SC, 29203-8900. NPI Number Dmitriy Vladimir Denissenko DMD has the Individual type.

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1184945008 NPI number is provided on an as is basis without warranty of any kind. 1184945008 is maintained by the National Plan & Provider Enumeration System. The contents of Dmitriy Vladimir Denissenko DMD are for informational purposes only.