IndividualActive
Gangadhara Chandu
NPI 1821375809 · Dental Assistant · Owings Mills, MD
Provider details
- NPI number
- 1821375809
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 44444444444444444444 (IA)
Specialties & taxonomies
Dental Providers
Practice location
400 Red Brook Blvd
Owings Mills, MD 21117-5172
Phone: (312) 121-2222
Approximate (ZIP-level) locationGet directions
Mailing address
400 Red Brook Blvd
Owings Mills, MD 21117-5172
Registry dates
- Enumerated
- 2011-11-04
- Last updated
- 2011-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.