| Columbiafamilydentist | |
|
9650 Santiago Rd Suite 104 Columbia MD 21045-3957 | |
| (410) 730-6020 | |
| (410) 730-3523 |
| Full Name | Columbiafamilydentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9650 Santiago Rd, Columbia, Maryland |
| Authorized Official Name and Position | Sahil Goyal (OWNER/PRESIDENT) |
| Authorized Official Contact | 4107306020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiafamilydentist 9650 Santiago Rd Suite 104 Columbia MD 21045-3957 Ph: (410) 730-6020 | Columbiafamilydentist 9650 Santiago Rd Suite 104 Columbia MD 21045-3957 Ph: (410) 730-6020 |
| NPI Number | 1346688868 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346688868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14250 (Maryland) | Primary |
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