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Individual

DR. RAMYA BHAGAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3733 JEFFERSON PIKE, JEFFERSON, MD 21755-8124
(301) 834-8804
(301) 371-0232
Mailing address
11147 YELLOW LEAF WAY, GERMAN TOWN, MD 20876
(301) 528-0176

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12187
MD

Other

Enumeration date
10/01/2008
Last updated
10/01/2008
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