Individual provider · Type 1 NPI
Amal Rastogi, DMD, MSD, PhD
Periodontics · Waldorf, MD
NPI number
1154586162
Active
Practice location
11855 Holly Ln, Suite 106
Waldorf, MD 20601-3114
Fax (301) 885-0600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 14431 (MD) |
| Periodontics | 1223P0300X | 0401412038 (VA) |
Periodontics: 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.
2 other providers at this address
About NPI 1154586162
Amal Rastogi, DMD, MSD, PhD's National Provider Identifier is 1154586162, issued on Jul 20, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Waldorf, MD. The record was last updated on Jan 20, 2010.