Organization
VIJAYALAKSHMI JESSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYALAKSHMI ANGAMUTHU JESSON (DENTIST)
(301) 990-3697
Entity
Organization
Contact information
Practice address
10820 RHODE ISLAND AVE STE A, BELTSVILLE, MD 20705
(301) 937-9330
(301) 477-4831
Mailing address
10820 RHODE ISLAND AVE STE A, BELTSVILLE, MD 20705-2570
(301) 937-9330
(301) 477-4831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12246
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144211046
—
MD
Enumeration date
05/14/2018
Last updated
08/21/2024
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