Dr. Surina Das - Pediatric Dentist in Silver Spring, Maryland | ProviderWire

Full Name

Dr. Surina Das

NPI Number

1649809450

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/03/2020

Specialties

(Taxonomies)

Name

Pediatric Dentist

Student in an Organized Health Care Education/Training Program

Code

1223P0221X

390200000X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

Maryland

License Number

17428

LL866

Contact
Information

Purpose

Mailing

Location

Address

12520 PROSPERITY DR STE 300

12520 PROSPERITY DR STE 300

City

Silver Spring

Silver Spring

State

MD

MD

Postal Code

20904-1664

20904-1664

Country

US

US

Telephone Number

(301) 989-8994

(301) 989-8994

Identifiers

Identifier

119591300

Identifier State

MD

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/25/2022

Provider Address

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