Organization
DENTAL GLITTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHU VENKATA RAMA RAJU NADIMPALLI DDS, MPA (GENERAL DENTIST/ OWNER)
(201) 257-7095
Entity
Organization
Contact information
Practice address
6181 LIVINGSTON RD, OXON HILL, MD 20745-3006
(301) 880-9999
Mailing address
12233 HAYLAND FARM WAY, ELLICOTT CITY, MD 21042-6027
(201) 257-7095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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