Individual
ROHAN JAGRUT MAHADEVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902
(302) 730-4633
Mailing address
300 TUSKEGEE BLVD, DOVER AFB, APO, AA 19902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042895
PA
Other
Enumeration date
03/25/2020
Last updated
12/06/2021
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