Meenakshi Bose, DDS
Dentist in Washington, DC. Individual provider (NPI-1).
NPI number1821349366
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1821349366
- Entity type
- Individual (NPI-1)
- Name
- Meenakshi Bose
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2012
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401413778 | VA | Yes |
| 122300000X | Dentist | DEN1001161 | DC |
Practice location
6428 Georgia Ave NwWashington, DC 20012-2910
Phone 518-567-9875
Mailing address
2448 Sugar Mill WayHerndon, VA 20171-3069
Phone 518-567-9875
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