Individual
MANASA BHAVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6181 LIVINGSTON RD, OXON HILL, MD 20745-3006
(301) 880-9999
Mailing address
6181 LIVINGSTON RD, OXON HILL, MD 20745-3006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18042
MD
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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