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Organization

PRIMECAREDENTALLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARMIN BOUTEHSAZ DDS (OWNER)
(818) 288-0469
Entity
Organization

Contact information

Practice address
11550 PHILADELPHIA RD STE 118, WHITE MARSH, MD 21162-1305
(410) 256-4868
Mailing address
11550 PHILADELPHIA RD STE 118, WHITE MARSH, MD 21162-1305
(410) 256-4868

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/18/2019
Last updated
02/18/2019
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