Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 5761 | MD |
NPI | 1073187480 |
---|---|
Provider Name | Christy M Greiner |
First Address | Forest Hill, MD 21050-3144 |
Second Address | Baltimore, MD 21237-3041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2021 |
Last Update Date | 19/05/2021 |