Provider Demographics
NPI:1346408697
Name:RAMESH C SARDANA DDS MS PA
Entity Type:Organization
Organization Name:RAMESH C SARDANA DDS MS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:S
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:410-687-3608
Mailing Address - Street 1:617 STEMMERS RUN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3334
Mailing Address - Country:US
Mailing Address - Phone:410-687-3608
Mailing Address - Fax:410-997-1128
Practice Address - Street 1:617 STEMMERS RUN RD
Practice Address - Street 2:SUITE B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3334
Practice Address - Country:US
Practice Address - Phone:410-687-3608
Practice Address - Fax:410-997-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4644261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental