Dentist in Edgewater LLC

NPI #1831944149 in Edgewater, Maryland

Provider Information

NPI Number: 1831944149
Entity Type: Organization
Organization Name: Dentist in Edgewater LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 19, 2024
Last Updated: May 10, 2024

Practice Location

Address: 15 LEE AIRPARK DR STE 100
City: Edgewater
State: Maryland
ZIP Code: 21037-1239
Phone: (803) 830-6881

Authorized Official

Name: SREEKANTH REDDY EMANI, DDS
Title: MEMBER
Phone: (803) 830-6881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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