Individual
KERRA-LEI ALEXANDRA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 BELAIR RD STE 104, BALTIMORE, MD 21213-1200
(410) 522-5777
Mailing address
1405 WOODWELL RD, SILVER SPRING, MD 20906-2014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18079
MD
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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