Individual
MFON ETESIN UMOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE B250, HYATTSVILLE, MD 20783-3245
(301) 439-5868
(301) 439-9528
Mailing address
6495 NEW HAMPSHIRE AVE STE B250, HYATTSVILLE, MD 20783-3245
(301) 439-5868
(301) 439-9528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10066
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121969960
—
MD
Enumeration date
01/13/2007
Last updated
01/23/2026
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