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NPI 1154586162

IndividualActive

Amal Rastogi, DMD, MSD, PHD

NPI 1154586162 · Periodontics · Waldorf, MD

Provider details

NPI number: 1154586162
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD, MSD, PHD
Sex: Male
Sole proprietor: Yes
License: 14431 (MD)

Practice location

11855 Holly Ln

Suite 106

Waldorf, MD 20601-3114

Phone: (301) 645-3100

Fax: (301) 885-0600

More MD providers

Mailing address

11855 Holly Ln

Waldorf, MD 20601-3114

Registry dates

Enumerated: 2008-07-20
Last updated: 2010-01-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amal Rastogi, DMD, MSD, PHD — NPI 1154586162, Waldorf, MD | NPI Central