Individual
ANITHA DURGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 1ST ST SE REAR 2, WASHINGTON, DC 20003-1890
(202) 863-1600
Mailing address
412 1ST ST SE REAR 2, WASHINGTON, DC 20003-1890
(202) 863-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN200053
DC
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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