# HEALTHY DENTAL OF WINDSOR MILL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508305228
- **Authorized official:** DR. MADHU VENKATA R NADIMPALLI DDS, MPA (GENERAL DENTIST / OWNER)
- **Authorized official phone:** (410) 995-9999

## Contact information

- **Practice address:** 8063 LIBERTY RD, WINDSOR MILL, MD 21244-2966
- **Practice address phone:** (410) 995-9999
- **Mailing address:** 3114 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3665
- **Mailing address phone:** (201) 257-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14742 | MD | Yes |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017