Provider Demographics
NPI:1972882918
Name:RAJANI, SANJAY KANTILAL (DMD)
Entity type:Individual
Prefix:
First Name:SANJAY
Middle Name:KANTILAL
Last Name:RAJANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 NEW CHURCH ST
Mailing Address - Street 2:SUITE #9
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2000
Mailing Address - Country:US
Mailing Address - Phone:301-253-2174
Mailing Address - Fax:301-253-9693
Practice Address - Street 1:9701 NEW CHURCH ST
Practice Address - Street 2:SUITE #9
Practice Address - City:DAMASCUS
Practice Address - State:MD
Practice Address - Zip Code:20872-2000
Practice Address - Country:US
Practice Address - Phone:301-253-2174
Practice Address - Fax:301-253-9693
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice