Provider Demographics
NPI:1154499903
Name:ANIYA, HAROLD GUILLERMO (DDS)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:GUILLERMO
Last Name:ANIYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20500 SENECA MEADOWS PKWY
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7008
Mailing Address - Country:US
Mailing Address - Phone:301-515-9600
Mailing Address - Fax:301-515-9653
Practice Address - Street 1:20500 SENECA MEADOWS PKWY
Practice Address - Street 2:SUITE 2200
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7008
Practice Address - Country:US
Practice Address - Phone:301-515-9600
Practice Address - Fax:301-515-9653
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice