Individual
DR. EARL WALLACE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3165 WOOSTER DR, BRYANS ROAD, MD 20616-3023
(301) 283-6211
(301) 283-5323
Mailing address
3165 WOOSTER DR, BRYANS ROAD, MD 20616-3023
(301) 283-6211
(301) 283-5323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04751
MD
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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