Columbiafamilydentist | |
9650 Santiago Rd Suite 104 Columbia MD 21045-3957 | |
(410) 730-6020 | |
(410) 730-3523 |
Full Name | Columbiafamilydentist |
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Speciality | Dentist - General Practice |
Location | 9650 Santiago Rd, Columbia, Maryland |
Authorized Official Name and Position | Sahil Goyal (OWNER/PRESIDENT) |
Authorized Official Contact | 4107306020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Columbiafamilydentist 9650 Santiago Rd Suite 104 Columbia MD 21045-3957 Ph: (410) 730-6020 | Columbiafamilydentist 9650 Santiago Rd Suite 104 Columbia MD 21045-3957 Ph: (410) 730-6020 |
NPI Number | 1346688868 |
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Provider Enumeration Date | 06/06/2013 |
Last Update Date | 06/06/2013 |
Identifier | Type | State | Issuer |
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1346688868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 14250 (Maryland) | Primary |
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