Provider Demographics
NPI:1578870259
Name:CHITIMUS, DELIA S (DDS)
Entity Type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:S
Last Name:CHITIMUS
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 1:10420 SWIFT STREAM PL APT 106
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4584
Mailing Address - Country:US
Mailing Address - Phone:443-631-4765
Mailing Address - Fax:
Practice Address - Street 1:603 NURSERY RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6109
Practice Address - Country:US
Practice Address - Phone:410-848-5577
Practice Address - Fax:410-876-3760
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14394122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist