Individual
DR. KONSTANTINA ANGELARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(206) 455-5786
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
LL827
MD
122300000X
Dentist
Primary
LLB27
MD
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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