Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 0401415345 | VA |
Y | 1223P0221X | Pediatric Dentist | 14916 | MD |
NPI | 1063733830 |
---|---|
Provider Name | Dr. Chikara Jamila Saunders-Fiddermon |
First Address | Lanham, MD 20706-1669 |
Second Address | Lanham, MD 20706-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 29/11/2018 |