Organization · NPI-2

Amisha N Shroff,dds,pc

Dentist, General Practice · Bethesda, MD

NPI number1518166248
StatusActive
Last updated in NPPESJul 12, 2007

Details

NPI
1518166248
Entity type
Organization (NPI-2)
Legal business name
Amisha N Shroff,dds,pc
Organization subpart
No
Enumeration date
Jul 12, 2007
Last updated
Jul 12, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice13054MDYes

Practice location

10320 Westlake Dr
109
Bethesda, MD 20817-6448

Phone 301-469-4775 · Fax 301-469-4776

Mailing address

10320 Westlake Dr
109
Bethesda, MD 20817-6448

Phone 301-469-4775 · Fax 301-469-4776

Authorized official

Amisha N Shroff
Dentist
3014694775

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