Provider Demographics
NPI:1447269683
Name:JANGHA, KWEKU L (DDS)
Entity type:Individual
Prefix:DR
First Name:KWEKU
Middle Name:L
Last Name:JANGHA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13401 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1243
Mailing Address - Country:US
Mailing Address - Phone:301-879-8337
Mailing Address - Fax:301-879-5430
Practice Address - Street 1:13401 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1243
Practice Address - Country:US
Practice Address - Phone:301-879-8337
Practice Address - Fax:301-879-5430
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice