Individual
DANIELLE S DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 CROMWELL BRIDGE RD, TOWSON, MD 21286-3300
(443) 625-1600
Mailing address
1001 CROMWELL BRIDGE RD, TOWSON, MD 21286-3300
(443) 625-1600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40014277900
—
MD
Enumeration date
07/03/2014
Last updated
07/03/2014
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