Organization
USHA BALLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USHA R BALLA DMD (OWNER)
(443) 776-8801
Entity
Organization
Contact information
Practice address
7600 HEARTHSIDE WAY, SUITE #200, ELKRIDGE, MD 21075
(443) 776-8801
Mailing address
7600 HEARTHSIDE WAY, SUITE #200, ELKRIDGE, MD 21075
(443) 776-8801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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