Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 08804 | MD |
NPI | 1023275864 |
---|---|
Provider Name | Dr. Carol Marie Orlando |
First Address | Bethesda, MD 20814-1911 |
Second Address | Bethesda, MD 20814-1911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 20/05/2008 |