Individual
DIVYA PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 410, COLUMBIA, MD 21044-6210
(410) 346-2350
Mailing address
14915 MEANDERWOOD LN, BURTONSVILLE, MD 20866-2218
(301) 792-1067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17046
MD
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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