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Individual

ERICA PAULTRE-MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
9400 LIVINGSTON RD, SUITE 110, FORT WASHINGTON, MD 20744-4958
(301) 265-1650
(301) 248-6509
Mailing address
9400 LIVINGSTON RD, SUITE 110, FORT WASHINGTON, MD 20744-4958
(301) 265-1650
(301) 248-6509

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15626
MD

Other

Enumeration date
07/16/2014
Last updated
07/16/2014
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