Organization
PETERSON & REDDY, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY REDDY D.D.S. (VICE-PRESIDENT)
(301) 843-3367
Entity
Organization
Contact information
Practice address
11855 HOLLY LN, SUITE 103, WALDORF, MD 20601-3114
(301) 843-3367
Mailing address
11855 HOLLY LN, SUITE 103, WALDORF, MD 20601-3114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12834
MD
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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