Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 17355 | MD |
NPI | 1083282529 |
---|---|
Provider Name | Dr. Frank James Triana |
First Address | Baltimore, MD 21202-1333 |
Second Address | Bethesda, MD 20817-1184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2021 |
Last Update Date | 11/06/2021 |