Organization
HOMAYOUN VAZAN DDS.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAYOUN VAZAN D.D.S (PRESIDENT)
(301) 446-0100
Entity
Organization
Contact information
Practice address
7209 HANOVER PKWY STE B, GREENBELT, MD 20770-2016
(301) 446-0100
Mailing address
7209 HANOVER PKWY STE B, GREENBELT, MD 20770-2016
(301) 446-0100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11865
MD
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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