MEDICARE: DR. MARGARET ALISA CURRY DMD

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	1223P0221X	Pediatric Dentistry	2817-94	MS

General Provider Information

NPI Number	:	1730161035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET ALISA CURRY DMD

Provider Business Mailing Address
First Line	:	110 LUKE AVE SW
Second Line	:
City	:	BOLLING AFB
State	:	DC
Zip	:	20032-6400
Country	:	US
Telephone Number	:	202-767-4403
Fax Number	:	202-404-7366

Provider Business Practice Location Address
First Line	:	110 LUKE AVE SW
Second Line	:
City	:	BOLLING AFB
State	:	DC
Zip	:	20032-6400
Country	:	US
Telephone Number	:	202-767-4403
Fax Number	:	202-404-7366

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	12/09/2008

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