Organization
DHARANI JASTHI DMD PC
Active
Other names
Today's Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DHARANI JASTHI DMD (PRESIDENT)
(443) 413-5458
Entity
Organization
Contact information
Practice address
8626 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 922-3700
Mailing address
8626 LIBERTY RD, RANDALLSTOWN, MD 21133-4707
(410) 922-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12210
MD
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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