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Individual

DR. SURINA DAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12520 PROSPERITY DR STE 300, SILVER SPRING, MD 20904-1664
(301) 989-8994
(410) 651-4256
Mailing address
12520 PROSPERITY DR STE 300, SILVER SPRING, MD 20904-1664
(301) 989-8994

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17428
MD
390200000X
Student in an Organized Health Care Education/Training Program
LL866
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
04/03/2020
Last updated
10/25/2022
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