Provider Demographics
NPI:1720238124
Name:PALOU, ANA MARGARITA (DDS)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARGARITA
Last Name:PALOU
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 1:10904 FIESTA RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1013
Mailing Address - Country:US
Mailing Address - Phone:301-802-4912
Mailing Address - Fax:
Practice Address - Street 1:8722 FLOWER AVE
Practice Address - Street 2:SUITE #7
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4000
Practice Address - Country:US
Practice Address - Phone:301-588-9548
Practice Address - Fax:301-588-6835
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD115071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice