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Individual

DR. SHALINI CHITTAMURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15200 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-6230
(301) 330-4600
(301) 330-0558
Mailing address
15200 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-6230
(301) 330-4600
(301) 330-0558

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
16365
MD
122300000X
Dentist
DS040865
PA
1223G0001X
General Practice Dentistry
Primary
16365
MD

Other

Enumeration date
04/22/2016
Last updated
12/03/2021
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