Individual
DR. ILSA LYNN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 HAMILL RD STE 266, BALTIMORE, MD 21210-1894
(410) 435-8400
Mailing address
7114 DEERFIELD RD, PIKESVILLE, MD 21208-6009
(404) 788-1821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041943
PA
1223P0221X
Pediatric Dentistry
Primary
16930
MD
1223P0221X
Pediatric Dentistry
DS041943
PA
Other
Enumeration date
03/16/2020
Last updated
07/02/2020
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