MEDICARE: DR. YURIY ABRAMOV DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401413713	VA

General Provider Information

NPI Number	:	1881949451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YURIY ABRAMOV DDS

Provider Business Mailing Address
First Line	:	4859 FINLAY ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2808
Country	:	US
Telephone Number	:	804-222-6069
Fax Number	:

Provider Business Practice Location Address
First Line	:	4859 FINLAY ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-2808
Country	:	US
Telephone Number	:	804-222-6069
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	10/14/2012

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