Provider Demographics
NPI:1508125212
Name:JOSHI, MANILA P (DDS)
Entity Type:Individual
Prefix:DR
First Name:MANILA
Middle Name:P
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MANILA
Other - Middle Name:
Other - Last Name:NUCHHE PRADHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9123 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:201-835-4765
Mailing Address - Fax:301-530-0614
Practice Address - Street 1:EXCELSIS ROOT CANAL SPECIALTIES
Practice Address - Street 2:SUITE A-204
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20734
Practice Address - Country:US
Practice Address - Phone:240-244-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD165131223E0200X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty