Individual
NATALIE VERONICA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 KENT TOWN MARKET, CHESTER, MD 21619-2632
(410) 643-5500
(410) 643-8538
Mailing address
22 KENT TOWN MARKET, CHESTER, MD 21619-2632
(410) 643-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18491
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2024
Last updated
09/01/2025
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