Provider Demographics
NPI:1134891526
Name:ANTROPOVA, NATALIYA
Entity type:Individual
Prefix:DR
First Name:NATALIYA
Middle Name:
Last Name:ANTROPOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALLSPICE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1329
Mailing Address - Country:US
Mailing Address - Phone:443-204-6109
Mailing Address - Fax:
Practice Address - Street 1:300 N CHARLES ST STE D
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4305
Practice Address - Country:US
Practice Address - Phone:410-685-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS043415122300000X
MD17691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty