Individual
DR. SUSHAEN RANGARAMANUJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1147 UNIVERSITY BLVD E, TAKOMA PARK, MD 20912-7444
(301) 830-5150
Mailing address
1147 UNIVERSITY BLVD E, TAKOMA PARK, MD 20912-7444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16108
MD
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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