Individual
AJAY KUMAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11855 HOLLY LANE, SUITE 103, WALDORF, MD 20601
(301) 843-3367
(301) 645-3368
Mailing address
11855 HOLLY LANE, SUITE 103, WALDORF, MD 20601
(301) 843-3367
(301) 645-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12834
MD
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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