Individual
PANKAJ KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22329 GREENVIEW PKWY, GREAT MILLS, MD 20634-4424
(301) 862-2044
Mailing address
22329 GREENVIEW PKWY, GREAT MILLS, MD 20634-4424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14586
MD
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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