Individual
DR. MAGDALENA PIDLAOAN VALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MPH
Contact information
Practice address
2507 ST PAUL STREET, BALTIMORE, MD 21218
(410) 243-3111
Mailing address
3 JILL COURT, REISTERSTOWN, MD 21136
(410) 833-5920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENTIST05522
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05121
MD BLUE CROSS BLUE SHIELD
MD
Enumeration date
04/11/2007
Last updated
07/08/2007
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