Provider Demographics
NPI:1013588839
Name:VOLOSHYNA, LILIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:
Last Name:VOLOSHYNA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAKENHEATH CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2734
Mailing Address - Country:US
Mailing Address - Phone:202-486-2593
Mailing Address - Fax:
Practice Address - Street 1:1104 KENILWORTH DR STE 102
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3104
Practice Address - Country:US
Practice Address - Phone:202-486-2593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice