Individual
INGRID FERNANDES MATHIAS SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-0805
Mailing address
650 W BALTIMORE ST STE 5201, BALTIMORE, MD 21201-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103
MD
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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