Individual
AAKASH CHAMU MUDALIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MHA, DMD, FICOI
Contact information
Practice address
605 POST OFFICE RD STE 203, WALDORF, MD 20602-1913
(301) 843-3444
Mailing address
605 POST OFFICE RD STE 203, WALDORF, MD 20602-1913
(301) 843-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16900
MD
1223G0001X
General Practice Dentistry
DEN2000140
DC
1223G0001X
General Practice Dentistry
DS041461
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16900
MARYLAND DEPARTMENT OF HEALTH
MD
01
—
DEN2000140
THE DISTRICT OF COLUMBIA BOARD OF DENTISTRY
DC
01
—
DS041461
DENTAL LICENSE
PA
Enumeration date
07/17/2017
Last updated
06/08/2022
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