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1184945008
DMITRIY VLADIMIR DENISSENKO
COLUMBIA, SC
NPI
1184945008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC DGD.4709 GD)
Enumeration Date
2010-06-15
Last Update Date
2015-02-12
Business Address
Dr. DMITRIY VLADIMIR DENISSENKO DMD
700 RABON RD
COLUMBIA, SC 29203-8900
Phone number: 803-865-0645
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Mailing Address
Dr. DMITRIY VLADIMIR DENISSENKO DMD
700 RABON RD
COLUMBIA, SC 29203-8900
Phone number: 803-865-0645
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