Dharani Jasthi Dmd PC

NPI #1700018942 in Randallstown, Maryland

Provider Information

NPI Number: 1700018942
Entity Type: Organization
Organization Name: Dharani Jasthi Dmd PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 21, 2009
Last Updated: Aug 21, 2009

Practice Location

Address: 8626 LIBERTY RD
City: Randallstown
State: Maryland
ZIP Code: 21133-4707
Phone: (410) 922-3700

Authorized Official

Name: DHARANI JASTHI, DMD
Title: PRESIDENT
Phone: (443) 413-5458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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