Individual
HAASYA KANAMARLAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 MERRIMAC CT, PRINCE FREDERICK, MD 20678-4133
(410) 535-2011
Mailing address
4847 FLOSSMOOR PL APT 204, WALDORF, MD 20602-6107
(609) 379-1213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18348
MD
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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