Organization
VAMA LLC
Active
Other names
Frederick Dental group
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN BADDAM DDS (OWNER)
(217) 414-4234
Entity
Organization
Contact information
Practice address
9093 RIDGEFIELD DR STE 203, FREDERICK, MD 21701-6712
(217) 414-4234
Mailing address
11500 COMMERCE PARK DR APT 440, RESTON, VA 20191-1176
(217) 414-4234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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