Provider Demographics
NPI:1053525774
Name:LIVCHITS, GALINA (HYGIENIST)
Entity type:Individual
Prefix:MS
First Name:GALINA
Middle Name:
Last Name:LIVCHITS
Suffix:
Gender:F
Credentials:HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 ROCKVILLE PIKE
Mailing Address - Street 2:10
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-770-5400
Mailing Address - Fax:301-770-6642
Practice Address - Street 1:1750 ROCKVILLE PIKE
Practice Address - Street 2:10
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1658
Practice Address - Country:US
Practice Address - Phone:301-770-5400
Practice Address - Fax:301-770-6642
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4588124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist