Individual
DR. LISA M VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6700 ALEXANDER BELL DR, COLUMBIA, MD 21046-2122
(888) 964-6681
(888) 662-0859
Mailing address
16 WINDY MEADOW CT, RANDALLSTOWN, MD 21133-4346
(410) 852-0928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12365
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006960357
ADA
—
05
—
010878200
—
MD
01
—
12189777
CAQH
—
Enumeration date
11/20/2006
Last updated
09/24/2022
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