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Individual

DR. KIRAN V NAYUDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10007 STEDWICK RD, MONTGOMERY VILLAGE, MD 20886-3710
(240) 288-9999
Mailing address
10007 STEDWICK RD, MONTGOMERY VILLAGE, MD 20886-3710
(240) 288-9999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15464
MD
1223G0001X
General Practice Dentistry
0025746
TX
1223G0001X
General Practice Dentistry
6630-15
WI

Other

Enumeration date
07/16/2010
Last updated
12/21/2018
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