Individual
DILEEP THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 LIVINGSTON RD STE 105, FORT WASHINGTON, MD 20744-4973
(301) 857-5736
Mailing address
13084 AUTUMN WILLOW DR, FAIRFAX, VA 22030-8202
(571) 591-9828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401419504
VA
122300000X
Dentist
Primary
19009
MD
Other
Enumeration date
03/25/2024
Last updated
04/22/2026
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