Organization
IRENE SPATES DMD LLC
Active
Other names
Sparkling Charms Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE SPATES DMD (PEDIATRIC DENTIST)
(443) 681-6455
Entity
Organization
Contact information
Practice address
887 E FORT AVE, BALTIMORE, MD 21230-5117
(443) 269-8899
Mailing address
887 E FORT AVE, BALTIMORE, MD 21230-5117
(443) 681-6455
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
11/23/2023
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