MEDICARE: HAROLD GUILLERMO ANIYA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12343	MD

General Provider Information

NPI Number	:	1154499903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD GUILLERMO ANIYA D.D.S.

Provider Business Mailing Address
First Line	:	20500 SENECA MEADOWS PKWY
Second Line	:	SUITE 2200
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-7008
Country	:	US
Telephone Number	:	301-515-9600
Fax Number	:	301-515-9653

Provider Business Practice Location Address
First Line	:	20500 SENECA MEADOWS PKWY
Second Line	:	SUITE 2200
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-7008
Country	:	US
Telephone Number	:	301-515-9600
Fax Number	:	301-515-9653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	12/06/2011

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