Whalio Doctors

NPI 1437986114

Brandon Dieter Canaza, RDH

Practitioner Dental Hygienist Frederick, MD

Practice location

Address
7115 Guilford Dr STE 101, Frederick, MD 21704-5234
Phone
(240) 379-1550
Mailing address
6949 Exeter CT APT 103, Frederick, MD 21703-6466

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 7557 (MD)

Registry record

NPI
1437986114
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2024
Record last updated
17 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.