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Individual

DR. SANDEEP KUMAR GARG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
112 SMALLWOOD VILLAGE CTR, WALDORF, MD 20602-1843
(301) 843-8088
(301) 645-3217
Mailing address
5008 EDENVALE CT, WALDORF, MD 20602-3189
(301) 638-3198

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12947
MD
1223G0001X
General Practice Dentistry
DN15408
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011144900
MD
Enumeration date
03/22/2007
Last updated
07/20/2020
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