Individual
BINCY KUTTIPLACKAL MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 ANNAPOLIS ROAD, ODENTON, MD 21113
(410) 672-6868
Mailing address
10412 FLORAL DRIVE, ADELPHI, MD 20783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16571
MD
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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