| Pancholi Dental Llc | |
|
3450 Laurel Fort Meade Rd Ste 202 Laurel MD 20724-2040 | |
| (443) 763-0754 | |
| Not Available |
| Full Name | Pancholi Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3450 Laurel Fort Meade Rd Ste 202, Laurel, Maryland |
| Authorized Official Name and Position | Shivakshi Pancholi (DENTIST) |
| Authorized Official Contact | 4437630754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pancholi Dental Llc 7207 Barry Ln Elkridge MD 21075-5486 Ph: (443) 763-0754 | Pancholi Dental Llc 3450 Laurel Fort Meade Rd Ste 202 Laurel MD 20724-2040 Ph: (443) 763-0754 |
| NPI Number | 1366267148 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366267148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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