| Usha Balla Llc | |
|
7600 Hearthside Way Suite #200 Elkridge MD 21075 | |
| (443) 776-8801 | |
| Not Available |
| Full Name | Usha Balla Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7600 Hearthside Way, Elkridge, Maryland |
| Authorized Official Name and Position | Usha R Balla (OWNER) |
| Authorized Official Contact | 4437768801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usha Balla Llc 7600 Hearthside Way Suite #200 Elkridge MD 21075 Ph: (443) 776-8801 | Usha Balla Llc 7600 Hearthside Way Suite #200 Elkridge MD 21075 Ph: (443) 776-8801 |
| NPI Number | 1710691712 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710691712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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