Individual provider · Type 1 NPI
Sanju P. Jose, DDS, M.D.S.
Periodontics · Columbia, MD
NPI number
1932516804
Active
Practice location
6395 Dobbin Rd Ste 208
Columbia, MD 21045-4759
Fax (410) 992-5474
Mailing address
300 Pine Valley Dr
Imperial, PA 15126-9332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 16308 (MD) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Columbia
About NPI 1932516804
Sanju P. Jose, DDS, M.D.S.'s National Provider Identifier is 1932516804, issued on Jul 12, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbia, MD. The record was last updated on Apr 28, 2020.