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Individual

SEMEONA MARQUEZ ACUZAR-BRILLANTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
173 SAINT PATRICKS DR, WALDORF, MD 20603-5529
(301) 645-6500
Mailing address
9275 BISCAYNE ST, WALDORF, MD 20603-7027
(240) 838-4064

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7539
MD
126800000X
Dental Assistant
219670
MD

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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