MEDICARE: DR. KWEKU L JANGHA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	13269	MD

General Provider Information

NPI Number	:	1447269683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KWEKU L JANGHA DDS

Provider Business Mailing Address
First Line	:	13401 NEW HAMPSHIRE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1243
Country	:	US
Telephone Number	:	301-879-8337
Fax Number	:	301-879-5430

Provider Business Practice Location Address
First Line	:	13401 NEW HAMPSHIRE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1243
Country	:	US
Telephone Number	:	301-879-8337
Fax Number	:	301-879-5430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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