Most Relevant Information
Provider Data
| NPI Number: | 1003211814 |
| Provider Name: | CAPRICE MARJENIN D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 15650 |
Most Important Dates
| Enumeration Date: | 10/23/2014 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
1705 N MARKET ST STE 200
FREDERICK
MD
217014348
Practice Location Phone/Fax
| Phone: | 3018103330 |
| Fax: |
Provider Mailing Location
1705 N MARKET ST STE 200
FREDERICK
MD
217014348
Provider Mailing Phone/Fax
| Phone: | 3018103330 |
| Fax: |