Organization
SIMPLE SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM NOURMAND DDS (AGENT)
(443) 762-1470
Entity
Organization
Contact information
Practice address
405 FREDERICK RD STE 152, CATONSVILLE, MD 21228-4655
(410) 777-9134
Mailing address
6510 GARDENWICK RD, BALTIMORE, MD 21209-2538
(443) 762-1470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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