Organization
SUMANYA VENKAT RAO DDS PC
Active
Other names
Pikesville Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMANYA VENKAT RAO DDS (GENERAL DENTIST)
(443) 898-6788
Entity
Organization
Contact information
Practice address
3635 OLD COURT RD STE 510, BALTIMORE, MD 21208-3916
(443) 540-6007
(443) 609-4713
Mailing address
3635 OLD COURT RD STE 510, PIKESVILLE, MD 21208-3916
(443) 898-6788
(443) 213-5620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15681
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089290400
—
MD
Enumeration date
07/31/2018
Last updated
01/27/2023
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