Provider Demographics
NPI:1528130887
Name:DUARTE, CHRISTINA M (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:DUARTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1667 CROFTON CTR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1303
Mailing Address - Country:US
Mailing Address - Phone:410-451-4780
Mailing Address - Fax:410-451-4245
Practice Address - Street 1:1667 CROFTON CTR
Practice Address - Street 2:SUITE 3
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1303
Practice Address - Country:US
Practice Address - Phone:410-451-4780
Practice Address - Fax:410-451-4245
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD122841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice