Organization
HG DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMIDREZA GHORBANIPARVAR DDS (DR/OWNER)
(502) 797-3563
Entity
Organization
Contact information
Practice address
6798 OAK HALL LN # A3, COLUMBIA, MD 21045-4892
(410) 964-2422
Mailing address
6798 OAK HALL LN # A3, COLUMBIA, MD 21045-4892
(502) 797-3563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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