Most Relevant Information
Provider Data
| NPI Number: | 1003685082 |
| Provider Name: | MARISSA SPRUELL |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 18367 |
Most Important Dates
| Enumeration Date: | 01/01/2024 |
| Last Updated: | 01/01/2024 |
Provider Practice Location
7511 NEW HAMPSHIRE AVE
TAKOMA PARK
MD
209126969
Practice Location Phone/Fax
| Phone: | 3014316883 |
| Fax: |
Provider Mailing Location
41 DANBURY ST SW
WASHINGTON
DC
200322202
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |