Individual
DR. TINA MATHEW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6532 REISTERSTOWN RD, BALTIMORE, MD 21215-2304
(410) 585-0010
Mailing address
12 PLACID WOODS CT, PARKVILLE, MD 21234-1162
(443) 600-9961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17584
MD
Other
Enumeration date
05/26/2022
Last updated
08/05/2022
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