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1073124152
DIVYA PURI
COLUMBIA, MD
NPI
1073124152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 17046)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
DIVYA PURI DMD
10630 LITTLE PATUXENT PKWY STE 410
COLUMBIA, MD 21044-6210
Phone number: 410-346-2350
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Mailing Address
DIVYA PURI DMD
14915 MEANDERWOOD LN
BURTONSVILLE, MD 20866-2218
Phone number: 301-792-1067
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