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Individual

DR. MARY KATHERINE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5036 DORSEY HALL DR., ST 105, ELLICOTT CITY, MD 21042
(410) 992-1980
(410) 992-0013
Mailing address
5036 DORSEY HALL DR., ST 105, ELLICOTT CITY, MD 21042
(410) 992-1980
(410) 992-0013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14135
MD
1223G0001X
General Practice Dentistry
14135
MD

Other

Enumeration date
07/10/2008
Last updated
07/16/2013
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