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Individual

DR. POORNA PHALTANKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2391 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1984
(410) 451-9600
Mailing address
1706 W ABINGDON DR APT 201, ALEXANDRIA, VA 22314-1083
(757) 277-2181

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17147
MD

Other

Enumeration date
02/09/2017
Last updated
09/06/2021
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