Organization
PRASAD CHALLAGULLA,.D.M.D,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD CHALLAGULLA DMD,PA (PRESIDENT)
(410) 356-6500
Entity
Organization
Contact information
Practice address
8890 MCDONOGH ROAD, SUITE 302, OWINGS MILLS, MD 21117
(410) 356-6500
(410) 356-3214
Mailing address
8890 MCDONOGH ROAD, SUITE 302, OWINGS MILLS, MD 21117
(410) 356-6500
(410) 356-3214
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15071
MD
Other
Enumeration date
03/20/2015
Last updated
08/19/2022
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