Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 11317 | MD |
NPI | 1043677552 |
---|---|
Provider Name | Dr. Thomas Orlando |
First Address | Bethesda, MD 20814-1911 |
Second Address | Bethesda, MD 20814-1911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2016 |
Last Update Date | 28/01/2016 |