Organization
EN DENTAL, LLC
Active
Other names
Mishpacha Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM NOURMAND (DENTIST)
(410) 484-2717
Entity
Organization
Contact information
Practice address
3635 OLD COURT RD, STE. 510, PIKESVILLE, MD 21208-3915
(410) 484-2717
Mailing address
3635 OLD COURT RD, STE. 510, PIKESVILLE, MD 21208-3915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14008
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021677100
—
MD
Enumeration date
07/07/2015
Last updated
07/07/2015
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