Organization
SUJIT K MOHANTY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJIT K MOHANTY DDS (OWNER)
(804) 527-1008
Entity
Organization
Contact information
Practice address
1782 N PARHAM RD, RICHMOND, VA 23229-4654
(804) 527-1008
(804) 527-0550
Mailing address
1782 N PARHAM RD, RICHMOND, VA 23229-4654
(804) 527-1008
(804) 527-0550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008745
VA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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