Individual
SIMBARASHE PARIRENYATWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 E LOMBARD ST, BALTIMORE, MD 21202-1089
(240) 449-5540
Mailing address
104 E LOMBARD ST, BALTIMORE, MD 21202-1089
(410) 522-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14071
MD
Other
Enumeration date
06/08/2007
Last updated
10/14/2021
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