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Dr. Arjun Vaidyanathan, DDS

Dentist in Windsor Mill, MD. Individual provider (NPI-1).

NPI number1104556554
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1104556554
Entity type
Individual (NPI-1)
Name
Dr. Arjun Vaidyanathan
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2022
Certification date
Aug 9, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist17538MDYes

Practice location

8063 Liberty Rd
Windsor Mill, MD 21244-2966

Phone 410-995-9999

Mailing address

8063 Liberty Rd
Windsor Mill, MD 21244-2966

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