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Individual

TERRIE LEIGH DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
325 GAMBRILLS RD, SUITE C, GAMBRILLS, MD 21054-1102
(410) 923-0373
(410) 923-1093
Mailing address
PO BOX 786, GAMBRILLS, MD 21054-0786
(410) 923-0373
(410) 923-1093

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14302
MD

Other

Enumeration date
01/21/2009
Last updated
01/21/2009
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