Individual
MONAMIE GHATAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2301 GALLOWS RD STE 115, DUNN LORING, VA 22027-1149
(571) 293-1668
Mailing address
2722 MANHATTAN PL, VIENNA, VA 22180-7343
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411100
VA
Other
Enumeration date
04/23/2007
Last updated
03/04/2019
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