# DE LA SOLE PODIATRIC MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386036234
- **Authorized official:** DR. KIANA RENE TRENT DPM (OWNER)
- **Authorized official phone:** (404) 606-7449

## Contact information

- **Practice address:** 10507 OBSERVATORY PL, UPPER MARLBORO, MD 20772-8511
- **Practice address phone:** (404) 606-7449
- **Mailing address:** 10507 OBSERVATORY PL, UPPER MARLBORO, MD 20772-8511
- **Mailing address phone:** (404) 606-7449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 01544 | MD | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 01/23/2019