Organization
AESTHETIC DENTAL CENTER OF COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHVASH ZULFAGHARY D.D.S. (OWNER)
(410) 730-7779
Entity
Organization
Contact information
Practice address
10700 CHARTER DR STE 340, COLUMBIA, MD 21044-3695
(410) 730-7779
(410) 730-9111
Mailing address
10700 CHARTER DR STE 340, COLUMBIA, MD 21044-3695
(410) 730-7779
(410) 730-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11926
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1440472
UNITED CONCORDIA
MD
01
—
7200790
MAMSI
MD
Enumeration date
03/02/2007
Last updated
08/22/2020
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