Individual
DR. ELISE GAYOSO PENAFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7425 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-3507
(410) 760-5120
(410) 760-9470
Mailing address
1173 GUMBOTTOM RD, CROWNSVILLE, MD 21032-1517
(410) 987-0785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12745
MD
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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