Individual
MISS JENNIFER L DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7450 ALBERT RD, BRANDYWINE, MD 20613-3035
(301) 888-2233
Mailing address
7450 ALBERT RD, BRANDYWINE, MD 20613-3035
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7173
MD
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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