Individual
DR. ELIZABETH L. FORKKIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
839-A QUINCE ORCHARD BLVD, GAITHERSBURG, MD 20878
(917) 561-4858
Mailing address
10408 CAPEHART COURT, GAITHERSBURG, MD 20886
(917) 561-4858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13928
MD
1223D0001X
Public Health Dentistry
DEN10000423
DC
Other
Enumeration date
12/19/2006
Last updated
08/30/2011
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