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Individual

DR. NEKIA A STALEY-NEITHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
8700 CENTRAL AVE STE 100, LANDOVER, MD 20785-4861
(240) 501-4915
(844) 623-4307
Mailing address
8700 CENTRAL AVE STE 100, LANDOVER, MD 20785-4861
(240) 501-4915
(301) 735-3062

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13458
MD
1223G0001X
General Practice Dentistry
DEN1000434
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036291500
DC
Enumeration date
11/15/2006
Last updated
08/16/2024
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