Individual
DR. SUJIT KUMAR MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1782 N PARHAM RD, RICHMOND, VA 23229-4654
(804) 527-1008
(804) 527-0550
Mailing address
1782 N PARHAM RD, RICHMOND, VA 23229-4654
(804) 354-0950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008745
VA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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