Individual
MRS. MITRA MADANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
517 BENFIELD RD, SUITE 204, SEVERNA PARK, MD 21146-2527
(410) 647-7050
(410) 647-7051
Mailing address
517 BENFIELD RD, SUITE 204, SEVERNA PARK, MD 21146-2527
(410) 647-7050
(410) 647-7051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13564
MD
Other
Enumeration date
01/24/2007
Last updated
05/22/2014
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