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Organization

MARYLAND DENTAL CENTER

Active
Other names
Maryland Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
KOUROSH MEHRABIAN DDS (PRESIDENT)
(301) 608-9800
Entity
Organization

Contact information

Practice address
8120 FENTON ST, SUITE 100, SILVER SPRING, MD 20910
(301) 608-9800
(301) 608-9331
Mailing address
8120 FENTON ST, SUITE 100, SILVER SPRING, MD 20910
(240) 667-7615
(301) 608-9331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083242223
MD
Enumeration date
10/23/2009
Last updated
05/24/2024
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