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Individual

ALI AZAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
230 W DARES BEACH RD, PRINCE FREDERICK, MD 20678-3150
(410) 535-5055
Mailing address
2 OAKLYN CT, POTOMAC, MD 20854-3933
(410) 535-5055

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11553
MD

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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