Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 11723 | MD |
NPI | 1043264658 |
---|---|
Provider Name | Dr. Cheryl Susan Budd |
First Address | California, MD 20619-2092 |
Second Address | Lexington Park, MD 20653-3347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/07/2007 |