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Organization
SUMANYA VENKAT RAO DDS PC
Active
Organization
SUMANYA VENKAT RAO DDS PC
Active
Other names
Pikesville Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMANYA VENKAT RAO DDS (GENERAL DENTIST)
(443) 898-6788
Entity
Organization
Contact information
Practice address
3635 OLD COURT RD STE 510, BALTIMORE, MD 21208-3916
(443) 540-6007
(443) 609-4713
Mailing address
3635 OLD COURT RD STE 510, PIKESVILLE, MD 21208-3916
(443) 898-6788
(443) 213-5620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15681
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089290400
—
MD
Enumeration date
07/31/2018
Last updated
01/27/2023
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