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Individual

ARIYA ZOGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11527 FOX RIVER DR, ELLICOTT CITY, MD 21042-6279
(410) 370-8062
Mailing address
11527 FOX RIVER DR, ELLICOTT CITY, MD 21042-6279
(410) 370-8062

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17530
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/13/2022
Last updated
01/31/2023
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