Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 09753 | MD |
NPI | 1013032903 |
---|---|
Provider Name | Dr. Cheryl F Callahan |
First Address | Rockville, MD 20850 |
Second Address | Rockville, MD 20850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 04/03/2019 |