Individual
LUZ M TENNASSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
707 S PRESIDENT ST APT 1416, BALTIMORE, MD 21202-4498
(301) 704-5539
Mailing address
707 S PRESIDENT ST APT 1416, BALTIMORE, MD 21202-4498
(301) 704-5539
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13889
MD
Other
Enumeration date
03/19/2007
Last updated
08/27/2007
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