Individual
SEYEDEH PEGAH GHIASI AFJEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10828 HARFORD RD, GLEN ARM, MD 21057-9232
(301) 906-6076
Mailing address
10828 HARFORD RD, GLEN ARM, MD 21057-9232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15675
MD
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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