Organization
HEALTHY DENTAL OF WINDSOR MILL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHU VENKATA R NADIMPALLI DDS, MPA (GENERAL DENTIST / OWNER)
(410) 995-9999
Entity
Organization
Contact information
Practice address
8063 LIBERTY RD, WINDSOR MILL, MD 21244-2966
(410) 995-9999
Mailing address
3114 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3665
(201) 257-7095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14742
MD
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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