Individual
AYSENUR GENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
120 SISTER PIERRE DR STE 103, TOWSON, MD 21204-7521
(608) 320-3820
Mailing address
120 SISTER PIERRE DR STE 103, TOWSON, MD 21204-7521
(608) 320-3820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN10000448
MA
1223G0001X
General Practice Dentistry
DS044918
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18597
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS044918
PA
Other
Enumeration date
01/30/2024
Last updated
05/24/2025
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