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Individual

RASHMI GANESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23371 BYMES MILL TER, ASHBURN, VA 20148-8112
(716) 380-3075
Mailing address
23371 BYMES MILL TER, ASHBURN, VA 20148-8112
(716) 380-3075

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401415538
VA

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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