Organization
DENTAL SPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM NOURMAND (PRESIDENT)
(443) 762-1470
Entity
Organization
Contact information
Practice address
6210 PARK HEIGHTS AVE UNIT 104, BALTIMORE, MD 21215-3626
(443) 583-0005
Mailing address
6510 GARDENWICK RD, BALTIMORE, MD 21209-2538
(443) 762-1470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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