Healthcare Provider Details

I. General information

NPI: 1023200672
Provider Name (Legal Business Name): KAREN ANN GARBER D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 OLD COURT RD SUITE 501
BALTIMORE MD
21208-3915
US

IV. Provider business mailing address

3620 WOODVALLEY DR
BALTIMORE MD
21208-1734
US

V. Phone/Fax

Practice location:
  • Phone: 410-415-7078
  • Fax:
Mailing address:
  • Phone: 410-415-7078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number09558
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: