Provider Demographics
NPI:1508075375
Name:WASSIF, CINDY BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:BETH
Last Name:WASSIF
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 1:903 FUSELAGE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4512
Mailing Address - Country:US
Mailing Address - Phone:410-687-1162
Mailing Address - Fax:410-687-2140
Practice Address - Street 1:903 FUSELAGE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21220-4512
Practice Address - Country:US
Practice Address - Phone:410-687-1162
Practice Address - Fax:410-687-2140
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 125951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice