Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 11170 | MD |
NPI | 1215378385 |
---|---|
Provider Name | Dr. Cecelia Noel Calhoun-Wells |
First Address | Silver Spring, MD 20904-6200 |
Second Address | Silver Spring, MD 20904-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2013 |
Last Update Date | 17/07/2013 |