Organization
DENTIST IN EDGEWATER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREEKANTH REDDY EMANI DDS (MEMBER)
(803) 830-6881
Entity
Organization
Contact information
Practice address
15 LEE AIRPARK DR STE 100, EDGEWATER, MD 21037-1239
(803) 830-6881
Mailing address
15 LEE AIRPARK DR STE 100, EDGEWATER, MD 21037-1239
(443) 334-6689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
05/10/2024
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