| NPI | 1801306535 |
|---|---|
| Doing Business As | MONTGOMERY DENTAL MD |
| Entity Type | Organization |
| Authorized Contact | KIRAN VENKATA NAYUDU Dentist 240-288-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 15464) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2018-12-21 |