Individual
DR. REZA NIKPOURFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3141
(410) 414-8333
Mailing address
1240 SW 30TH AVE STE 309, MIAMI, FL 33135-4731
(703) 729-1818
(703) 729-7776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401410408
VA
1223G0001X
General Practice Dentistry
Primary
15755
MD
Other
Enumeration date
12/02/2006
Last updated
02/29/2024
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