Individual
LIDYA DANIELLA PEREZ SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11300 ROCKVILLE PIKE, SUITE 702, NORTH BETHESDA, MD 20852-3011
(301) 770-2223
(301) 770-2224
Mailing address
11300 ROCKVILLE PIKE, SUITE 702, NORTH BETHESDA, MD 20852-3011
(301) 770-2223
(301) 770-2224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16049
MD
Other
Enumeration date
09/25/2015
Last updated
01/28/2016
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