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General NPI Number Information
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NPI Number | 1508729534
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Entity Type | Organization
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Legal Business Name | DENTAL GROUP OF TOWSON
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1104 KENILWORTH DR STE 102
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City | TOWSON
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State | MD
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Zip | 21204-3104
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Country | US
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Telephone | 410-324-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 KENILWORTH DR STE 102
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City | TOWSON
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State | MD
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Zip | 21204-3104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | VLADIMIR SEMEREY
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Credential |
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Telephone | 443-980-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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