Organization
KAA DENTAL LLC
Active
Other names
Montgomery Dental MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN VENKATA NAYUDU DDS (DENTIST)
(240) 288-9999
Entity
Organization
Contact information
Practice address
10007 STEDWICK RD, MONTGOMERY VILLAGE, MD 20886-3710
(240) 288-9999
Mailing address
8100 RANDOLPH WAY APT 202, ELLICOTT CITY, MD 21043-4790
(443) 902-1256
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15464
MD
Other
Enumeration date
10/08/2017
Last updated
12/21/2018
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