Organization
PRASANTHI CHILDREN'S DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARADHA AVULA DDS (PRESIDENT)
(443) 254-1435
Entity
Organization
Contact information
Practice address
100 HARBORVIEW DRIVE, UNIT 1104, BALTIMORE, MD 21230
(443) 254-1435
Mailing address
100 HARBORVIEW DRIVE, UNIT 1104, BALTIMORE, MD 21230
(443) 254-1435
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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