Organization
MRN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMADREZA NABAVI DDS (DOCTOR/OWNER)
(301) 221-0161
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 100, COLUMBIA, MD 21044-6220
(410) 730-8330
Mailing address
10630 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-3264
(410) 730-8330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14871
MD
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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