Individual
ALICE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 LISBON CENTER DR, STE A & B, WOODBINE, MD 21797-8633
(410) 489-2650
Mailing address
708 LISBON CENTER DR, STE A & B, WOODBINE, MD 21797-8633
(410) 489-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15578
MD
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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