Provider Demographics
NPI:1508522848
Name:KORMANN, DEBORA CATALINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:CATALINA
Last Name:KORMANN
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 1:5901 MONTROSE RD APT C206
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4712
Mailing Address - Country:US
Mailing Address - Phone:202-985-9090
Mailing Address - Fax:
Practice Address - Street 1:284 MERRIMAC CT
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4133
Practice Address - Country:US
Practice Address - Phone:410-535-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist