Healthcare Provider Details

I. General information

NPI: 1467191833
Provider Name (Legal Business Name): FATIMA K ALAWSEE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S 5TH AVE
DENTON MD
21629-1398
US

IV. Provider business mailing address

808 S 5TH AVE
DENTON MD
21629-1398
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-2650
  • Fax: 833-916-1012
Mailing address:
  • Phone: 410-479-2650
  • Fax: 833-916-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberLL898
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: