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Individual

KATAYOUN D GHAJARNIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1286 MARYLAND RT 3 S STE 7, CROFTON, MD 21114-1340
(410) 721-8200
(410) 721-7629
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14652
MD
1223G0001X
General Practice Dentistry
DS038309
PA

Other

Enumeration date
07/27/2010
Last updated
09/21/2010
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