Individual
DIANA TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23140 MOAKLEY ST STE 5, LEONARDTOWN, MD 20650-2931
(301) 475-2881
Mailing address
23140 MOAKLEY ST STE 5, LEONARDTOWN, MD 20650-2931
(301) 475-2881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17086
MD
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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