Individual
DR. ELIZABETH K. PRADA DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
100 SPARKS VALLEY RD, SUITE C, SPARKS, MD 21152-9342
(410) 771-8200
(410) 771-8201
Mailing address
100 SPARKS VALLEY RD., SUITE C, SPARKS, MD 21152
(410) 771-8200
(410) 771-8201
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15333
MD
1223P0221X
Pediatric Dentistry
2901020620
MI
1223P0221X
Pediatric Dentistry
DS036963
PA
Other
Enumeration date
06/05/2007
Last updated
03/07/2014
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