# BELTSVILLE FAMILY DENTAL CTR.LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881895068
- **Authorized official:** MOHAMMAD H SHAHEGH D.D.S. (PRESIDENT)
- **Authorized official phone:** (301) 937-1472

## Contact information

- **Practice address:** 11109 BALTIMORE AVE, BELTSVILLE, MD 20705-2149
- **Practice address phone:** (301) 937-1472
- **Mailing address:** 11109 BALTIMORE AVE, BELTSVILLE, MD 20705-2149
- **Mailing address phone:** (301) 937-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8387 | MD | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 08/22/2020