Individual
SUSHANT MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S
Contact information
Practice address
691 LAUREL ST, #200, CULPEPER, VA 22701-3930
(678) 910-0823
Mailing address
691 LAUREL ST, #200, CULPEPER, VA 22701-3930
(678) 910-0823
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401413580
VA
1223E0200X
Endodontics
DEN1001127
DC
Other
Enumeration date
07/12/2010
Last updated
06/05/2015
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