Organization
RIVERSIDE DENTAL AT WATER'S EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEELU MILAK (OWNER)
(410) 272-1535
Entity
Organization
Contact information
Practice address
111 BATA BLVD STE D, BELCAMP, MD 21017-1427
(410) 272-1535
(410) 272-0242
Mailing address
111 BATA BLVD STE D, BELCAMP, MD 21017-1427
(410) 272-1535
(410) 272-0242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D38111
MD
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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