Organization
DENTIST IN BOWIE LLC
Active
Other names
dentist in bowie
Organization subpart
No
Provider details
NPI number
Authorized official
SREEKANTH REDDY EMANI (MANAGER)
(803) 233-6141
Entity
Organization
Contact information
Practice address
14999 HEALTH CENTER DR STE 110, BOWIE, MD 20716-1079
(803) 233-6141
Mailing address
14999 HEALTH CENTER DR STE 110, BOWIE, MD 20716-1079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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