Individual
DR. IRENE SPATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
887 E FORT AVE, BALTIMORE, MD 21230-5117
(443) 681-6455
Mailing address
887 E FORT AVE, BALTIMORE, MD 21230-5117
(443) 681-6455
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16594
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
04/28/2018
Last updated
11/23/2023
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