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1659601656
MADHUMITHA AMBALAVANAN
ELLICOTT CITY, MD
NPI
1659601656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 14348)
Enumeration Date
2010-01-13
Last Update Date
2023-10-27
Business Address
MADHUMITHA AMBALAVANAN DMD
9200 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042-2613
Phone number: 410-480-9800
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Mailing Address
MADHUMITHA AMBALAVANAN DMD
9200 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042-2613
Phone number: 606-454-1052
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