Individual
DR. AMAL RASTOGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, PHD
Contact information
Practice address
11855 HOLLY LN, SUITE 106, WALDORF, MD 20601-3114
(301) 645-3100
(301) 885-0600
Mailing address
11855 HOLLY LN, SUITE 106, WALDORF, MD 20601-3114
(301) 645-3100
(301) 885-0600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401412038
VA
1223P0300X
Periodontics
Primary
14431
MD
Other
Enumeration date
07/20/2008
Last updated
01/20/2010
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