DR. Amal Rastogi, DMD, MSD, PHD

NPI #1154586162 in Waldorf, Maryland

Provider Information

NPI Number: 1154586162
Entity Type: Individual
Name: DR. Amal Rastogi, DMD, MSD, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD, MSD, PHD
Enumeration Date: Jul 20, 2008
Last Updated: Jan 20, 2010

Practice Location

Address: 11855 HOLLY LN
Address 2: SUITE 106
City: Waldorf
State: Maryland
ZIP Code: 20601-3114
Phone: (301) 645-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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