Individual
MAYOKUN GRACE DEMEHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3639 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7175
(410) 664-2503
Mailing address
3639 LIBERTY HEIGHTS AVE, MUMBY AND SIMMONS DENTAL CONSULTANTS, P.C, BALTIMORE, MD 21225
(410) 664-2503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15652
MD
Other
Enumeration date
07/10/2013
Last updated
11/15/2016
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