Individual
LAVANYA CHADARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
SMILES R US DENTISTRY, WOODLAWN, MD 21207
(757) 362-1427
Mailing address
6666 SECURITY BLVD, WOODLAWN, MD 21207-4013
(443) 866-8035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18097
MD
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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