Individual
MEENAKSHI BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
(518) 567-9875
Mailing address
2448 SUGAR MILL WAY, HERNDON, VA 20171-3069
(518) 567-9875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413778
VA
122300000X
Dentist
DEN1001161
DC
Other
Enumeration date
09/24/2012
Last updated
06/21/2013
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