Provider Demographics
NPI:1760924559
Name:KRAJA, EMONA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMONA
Middle Name:
Last Name:KRAJA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12510 PROSPERITY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1640
Mailing Address - Country:US
Mailing Address - Phone:301-495-9222
Mailing Address - Fax:301-495-9225
Practice Address - Street 1:12510 PROSPERITY DR STE 220
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1640
Practice Address - Country:US
Practice Address - Phone:301-495-9222
Practice Address - Fax:301-495-9225
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD154021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice