Individual
AYUSHI MANGUKIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1286 MARYLAND RT 3 S STE 7, CROFTON, MD 21114-1340
(410) 721-8200
Mailing address
4494 ROLLING MDWS, ELLICOTT CITY, MD 21043-6573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18113
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2023
Last updated
07/07/2023
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