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Dr. Amal Rastogi, DMD,MSD,PHD
Periodontist in Waldorf, Maryland
NPI 1154586162

Amal Rastogi is a Periodontist based in Waldorf, MD and is specialized in Periodontics. Amal Rastogi practices in Waldorf, MD and has the professional credentials of DMD,MSD,PHD. The NPI Number for Amal Rastogi is 1154586162 and holds a License No. 14431 (Maryland).

The current practice location address for Amal Rastogi is 11855 Holly Ln, Waldorf, MD and can be reached out via phone at 301-645-3100 and via fax at 301-885-0600.

Location: 11855 Holly Ln, Waldorf, MD, 20601-3114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154586162
Provider Name
Amal Rastogi
Credential
DMD,MSD,PHD
Provider Entity Type
Individual
Gender
Male
Address
11855 Holly Ln, Waldorf, MD, 20601-3114
Phone Number
301-645-3100
Fax Number
301-885-0600
Provider Enumeration Date
07/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11855 Holly Ln
City
Waldorf
State
Maryland
Zip
20601-3114
Phone Number
301-645-3100
Fax Number
301-885-0600
person
Provider Business Mailing Address Details
Address
11855 Holly Ln
City
Waldorf
State
Maryland
Zip
20601-3114
Phone Number
301-645-3100
Fax Number
301-885-0600
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
14431 (Maryland)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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