Individual
DR. SANJU P. JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
6395 DOBBIN RD STE 208, COLUMBIA, MD 21045-4759
(410) 997-1189
(410) 992-5474
Mailing address
300 PINE VALLEY DR, IMPERIAL, PA 15126-9332
(410) 913-4760
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16308
MD
Other
Enumeration date
07/12/2014
Last updated
04/28/2020
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