| NPI | 1083153498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU VENKATA R NADIMPALLI General Dentist / Owner 301-882-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14742) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |