Individual
DR. NIRUJA SANTHIRASEGARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18220 CONTOUR RD, MONTGOMERY VILLAGE, MD 20877-2623
(301) 208-0002
Mailing address
18627 NATHANS PL, MONTGOMERY VILLAGE, MD 20886-4249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15202
MD
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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