DR. Dmitriy Itskovich, DDS

NPI #1336327782 in Gaithersburg, Maryland

Provider Information

NPI Number: 1336327782
Entity Type: Individual
Name: DR. Dmitriy Itskovich, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 7, 2008
Last Updated: Feb 7, 2008

Practice Location

Address: 481 N FREDERICK AVE STE 104
City: Gaithersburg
State: Maryland
ZIP Code: 20877-2470
Phone: (301) 926-1407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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