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Individual

VICTORIA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555
Mailing address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038474
PA

Other

Enumeration date
01/17/2011
Last updated
10/16/2019
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