| Prasad Challagulla,.d.m.d,p.a | |
|
8890 Mcdonogh Road, Suite 302 Owings Mills MD 21117 | |
| (410) 356-6500 | |
| (410) 356-3214 |
| Full Name | Prasad Challagulla,.d.m.d,p.a |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8890 Mcdonogh Road, Suite 302, Owings Mills, Maryland |
| Authorized Official Name and Position | Prasad Challagulla (PRESIDENT) |
| Authorized Official Contact | 4103566500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prasad Challagulla,.d.m.d,p.a 8890 Mcdonogh Road Suite 302 Owings Mills MD 21117 Ph: (410) 356-6500 | Prasad Challagulla,.d.m.d,p.a 8890 Mcdonogh Road, Suite 302 Owings Mills MD 21117 Ph: (410) 356-6500 |
| NPI Number | 1780078485 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780078485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 15071 (Maryland) | Primary |
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