Individual
MR. RUSSELL DE OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 CLARKVIEW RD STE 120, BALTIMORE, MD 21209-2187
(410) 236-5515
Mailing address
760 MELVILLE AVE, BALTIMORE, MD 21218-2553
(410) 236-5515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
228747
MD
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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