| Healthy Dental Of Baltimore Llc | |
|
2103 W Patapsco Ave Baltimore MD 21230-2946 | |
| (410) 888-4000 | |
| Not Available |
| Full Name | Healthy Dental Of Baltimore Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2103 W Patapsco Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Madhu Venkata Rama Raju Nadimpalli (OWNER/ GENERAL DENTIST) |
| Authorized Official Contact | 2012577095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Dental Of Baltimore Llc 7605 Golden Slumber Ln Elkridge MD 21075-7602 Ph: (201) 257-7095 | Healthy Dental Of Baltimore Llc 2103 W Patapsco Ave Baltimore MD 21230-2946 Ph: (410) 888-4000 |
| NPI Number | 1528626447 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528626447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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