Individual
VICTORIA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
44210 AIRPORT VIEW DR, HOLLYWOOD, MD 20636-3159
(301) 861-8351
Mailing address
44210 AIRPORT VIEW DR, HOLLYWOOD, MD 20636-3159
(301) 373-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17890
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2023
Last updated
09/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us