Organization
HEALTHY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHU VENKATA RAMA RAJU NADIMPALLI DDS, MPA (GENERAL DENTIST / MEMBER)
(201) 257-7095
Entity
Organization
Contact information
Practice address
5570 SILVER HILL RD, PENN STATION SHOPPING CENTRE, DISTRICT HEIGHTS, MD 20747-1104
(301) 202-2222
Mailing address
3105 W SPRINGS DR, APT E, ELLICOTT CITY, MD 21043-2940
(201) 257-7095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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