Individual
DR. IVAN SUMITRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2430 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2839
(202) 526-4618
(202) 526-2627
Mailing address
11815 CHAPEL WOODS CT, CLARKSVILLE, MD 21029-1117
(301) 596-9584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4040
DC
Other
Enumeration date
12/25/2005
Last updated
07/08/2007
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