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Dr. Ilaya Ramanan Rajagopal, DDS
Pediatric Dentist in Hagerstown, Maryland
NPI 1871625954

Ilaya Ramanan Rajagopal is a Pediatric Dentist based in Hagerstown, MD and is specialized in Pediatric Dentistry. Ilaya Ramanan Rajagopal practices in Hagerstown, MD and has the professional credentials of DDS. The NPI Number for Ilaya Ramanan Rajagopal is 1871625954 and holds a License No. LL520 (Maryland).

The current practice location address for Ilaya Ramanan Rajagopal is 24 N Walnut St, Hagerstown, MD and can be reached out via phone at 301-393-3447 and via fax at 301-393-3463.

Location: 24 N Walnut St, Hagerstown, MD, 21740-4738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871625954
Provider Name
Ilaya Ramanan Rajagopal
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
24 N Walnut St, Hagerstown, MD, 21740-4738
Phone Number
301-393-3447
Fax Number
301-393-3463
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LL520 01 MD LIC REG CERT NO
institution
Provider Business Practice Location Address Details
Address
24 N Walnut St
City
Hagerstown
State
Maryland
Zip
21740-4738
Phone Number
301-393-3447
Fax Number
301-393-3463
person
Provider Business Mailing Address Details
Address
24 N Walnut St
City
Hagerstown
State
Maryland
Zip
21740-4738
Phone Number
301-393-3447
Fax Number
301-393-3463
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
LL520 (Maryland)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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