Provider Demographics
NPI:1023029303
Name:CHARY, SUDHARANI VALLABHAPURAPU (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SUDHARANI
Middle Name:VALLABHAPURAPU
Last Name:CHARY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 WASHINGTON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5779
Mailing Address - Country:US
Mailing Address - Phone:410-857-5755
Mailing Address - Fax:410-857-6002
Practice Address - Street 1:826 WASHINGTON RD STE 104
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5779
Practice Address - Country:US
Practice Address - Phone:410-857-5755
Practice Address - Fax:410-857-6002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist