Individual
DR. BHAVANA MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5832 HUBBARD DR, ROCKVILLE, MD 20852-4818
(703) 786-7369
Mailing address
33 BEACON HILL CT, GAITHERSBURG, MD 20878-1962
(703) 786-7369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11445
MD
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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