Provider Demographics
NPI:1225285091
Name:POUPARD-TONER, CECILE MARIE ANNE (DDS)
Entity Type:Individual
Prefix:
First Name:CECILE
Middle Name:MARIE ANNE
Last Name:POUPARD-TONER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 ELTON RD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903
Mailing Address - Country:US
Mailing Address - Phone:301-439-7878
Mailing Address - Fax:301-434-3448
Practice Address - Street 1:1734 ELTON RD
Practice Address - Street 2:SUITE 231
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903
Practice Address - Country:US
Practice Address - Phone:301-439-7878
Practice Address - Fax:301-434-3448
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist