Healthy Dental of Windsor Mill LLC

NPI #1508305228 in Windsor Mill, Maryland

Provider Information

NPI Number: 1508305228
Entity Type: Organization
Organization Name: Healthy Dental of Windsor Mill LLC
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2017
Last Updated: Feb 14, 2017

Practice Location

Address: 8063 LIBERTY RD
City: Windsor Mill
State: Maryland
ZIP Code: 21244-2966
Phone: (410) 995-9999

Authorized Official

Name: DR. MADHU VENKATA R NADIMPALLI, DDS, MPA
Title: GENERAL DENTIST / OWNER
Phone: (410) 995-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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