# BEHNAZ BAGHERI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEHNAZ BAGHERI DDS PC
- **Other names:** Behnaz Bagheri
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811709900
- **Legal business name:** BEHNAZ BAGHERI DDS PC
- **Authorized official:** SAM JALALI (OFFICE MANAGER)
- **Authorized official phone:** (410) 917-3013

## Contact information

- **Practice address:** 5072 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7845
- **Practice address phone:** (410) 772-1200
- **Mailing address:** 5072 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7845
- **Mailing address phone:** (410) 772-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/24/2025