Individual
DR. RALPH WALTER NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
272 MERRIMAC COURT, PRINCE FREDERICK, MD 20678
(410) 535-2505
(410) 535-2510
Mailing address
PO BOX 3144, PRINCE FREDERICK, MD 20678
(410) 535-2505
(410) 535-2510
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10788
MD
Other
Enumeration date
05/21/2008
Last updated
05/22/2014
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