Organization
MITRA MADANI, D.D.S, LLC
Active
Other names
Bayside Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MITRA MADANI (DENTIST)
(410) 647-7050
Entity
Organization
Contact information
Practice address
517 BENFIELD RD STE 204, SEVERNA PARK, MD 21146-2540
(410) 647-7050
Mailing address
517 BENFIELD RD STE 204, SEVERNA PARK, MD 21146-2540
(410) 647-7050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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