Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 0401413542 | VA |
Y | 1223P0221X | Pediatric Dentist | 14427 | MD |
N | 1223P0221X | Pediatric Dentist | DEN1000878 | DC |
NPI | 1083945158 |
---|---|
Provider Name | Dr. Dinah Abioro |
First Address | Bowie, MD 20715-3011 |
Second Address | Bowie, MD 20715-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2010 |
Last Update Date | 12/12/2014 |