Individual
DR. SUVIDHA REDDY POLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8918 WOODYARD RD, CLINTON, MD 20735-4204
(301) 856-1122
Mailing address
8918 WOODYARD RD, CLINTON, MD 20735-4204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16582
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2017
Last updated
03/19/2020
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