Organization
MARYLAND SLEEP DOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEELIMA KRISHNA YERRA DDS (PRESIDENT)
(408) 802-0664
Entity
Organization
Contact information
Practice address
5005 SIGNAL BELL LN STE 210, CLARKSVILLE, MD 21029-2608
(408) 802-0664
Mailing address
10348 PUCCINI LN, ELLICOTT CITY, MD 21042-2828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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