Provider Demographics
NPI:1386779643
Name:NEELU S MILAK
Entity type:Organization
Organization Name:NEELU S MILAK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELU
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-939-3343
Mailing Address - Street 1:111 BATA BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1431
Mailing Address - Country:US
Mailing Address - Phone:410-272-1535
Mailing Address - Fax:
Practice Address - Street 1:111 BATA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1431
Practice Address - Country:US
Practice Address - Phone:410-272-1535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty