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Individual

AHMAD SOOLARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11616 TOULONE DR, POTOMAC, MD 20854-3144
(301) 299-6664
(240) 845-1087
Mailing address
11616 TOULONE DR, POTOMAC, MD 20854-3144
(301) 299-6664
(240) 845-1087

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12991
MD

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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