Organization
CONVENIENT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYALAKSHMI NATARAJAN ANGAMUTHU D.D.S. (OWNER)
(410) 281-7700
Entity
Organization
Contact information
Practice address
1726 N ROLLING RD, BALTIMORE, MD 21244
(410) 281-7700
(410) 281-1861
Mailing address
1726 N ROLLING RD, BALTIMORE, MD 21244
(410) 281-7700
(410) 281-1861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12246
MD
Other
Enumeration date
05/04/2007
Last updated
10/15/2008
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