Provider Demographics
NPI:1164149027
Name:KARINA LLC
Entity Type:Organization
Organization Name:KARINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:MARIE MCCRAY
Authorized Official - Last Name:DEMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-610-4922
Mailing Address - Street 1:28160 OLD VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-4289
Mailing Address - Country:US
Mailing Address - Phone:410-610-4922
Mailing Address - Fax:866-219-6469
Practice Address - Street 1:28160 OLD VILLAGE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-4289
Practice Address - Country:US
Practice Address - Phone:410-610-4922
Practice Address - Fax:866-219-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty