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Individual

MERIAM MACAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3233 SUPERIOR LN STE B25, BOWIE, MD 20715-1935
(732) 979-4788
Mailing address
690 FAIRMONT DR UNIT 205, BOWIE, MD 20716-3567
(732) 979-4788

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18343
MD
1223G0001X
General Practice Dentistry
22DI02843200
NJ

Other

Enumeration date
04/25/2021
Last updated
12/28/2023
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