Individual
KARTHIK MUPPALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7350 VAN DUSEN RD STE 440, LAUREL, MD 20707-5265
(941) 405-1500
Mailing address
10210 SUNWAY TER, ELLICOTT CITY, MD 21042-5848
(410) 782-9450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17628
MD
Other
Enumeration date
06/03/2021
Last updated
03/13/2024
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