Individual
RUPAN PANDOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217
(410) 383-8300
(410) 383-3160
Mailing address
12029 FLOATING CLOUDS PATH, CLARKSVILLE, MD 21029-1678
(909) 389-8662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16107
MD
122300000X
Dentist
DDS102130
CA
Other
Enumeration date
06/07/2016
Last updated
10/16/2019
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