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Individual

DR. USHA RANI BALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6725 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-1904
(301) 773-4746
(301) 773-4941
Mailing address
2221 E BIJOU ST STE 1002221E, COLORADO SPRINGS, CO 80909-8008
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15914
MD
122300000X
Dentist
DEN1001619
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029566300
MD
05
079748100
DC
Enumeration date
10/15/2013
Last updated
06/13/2019
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