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NPI Code Detail

MEDICARE: MRS. DELIA S. CHITIMUS D.D.S.

MEDICARE: MRS. DELIA S. CHITIMUS 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
1122300000XDentist14394MD

General Provider Information

NPI Number : 1578870259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DELIA S. CHITIMUS D.D.S.
Provider Business Mailing Address
First Line : 10420 SWIFT STREAM PL APT 106
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4584
Country : US
Telephone Number : 443-631-4765
Fax Number :
Provider Business Practice Location Address
First Line : 603 NURSERY RD
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-6109
Country : US
Telephone Number : 410-848-5577
Fax Number : 410-876-3760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2010
Last Update Date : 09/02/2010

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Directions to “ MRS. DELIA S. CHITIMUS D.D.S.” Practice Location

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