Individual
DR. AMBER THERESE ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6618A SECURITY BLVD, WOODLAWN, MD 21207-4010
(410) 575-1833
(410) 803-5297
Mailing address
6618A SECURITY BLVD, WOODLAWN, MD 21207-4010
(410) 575-1833
(410) 803-5297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15119
MD
122300000X
Dentist
60745
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058053800
—
MD
05
—
201214960A
—
KS
Enumeration date
10/06/2010
Last updated
02/19/2020
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