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Individual

DR. ALICIA CHAYNEL GROOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
949 FELL ST STE A, BALTIMORE, MD 21231-3505
(410) 970-0440
Mailing address
810 CONCORDE CIR UNIT 34222, LINTHICUM HEIGHTS, MD 21090-2963
(434) 209-7971

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16510
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/09/2018
Last updated
05/12/2022
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