Brianna Abraham, DDS
Dentist in Maywood, IL. Individual provider (NPI-1).
NPI number1356101075
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1356101075
- Entity type
- Individual (NPI-1)
- Name
- Brianna Abraham
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 018.002276 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MD |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
Mailing address
34 Cody AveBaltimore, MD 21234-1376
Phone 443-847-1343
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