Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 5090 | DE |
Y | 1223D0001X | Dental Public Health | 5090 | DC |
NPI | 1588828602 |
---|---|
Provider Name | Dr. Gail Cherry-Peppers |
First Address | Kensington, MD 20891-2834 |
Second Address | Washington, DC 20001-1850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 17/07/2008 |