Organization
KOUROSH MEHRABIAN DDS & ASSOCIATES PC
Active
Other names
Maryland Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOUROSH MEHRABIAN DDS (OWNER)
(240) 667-7615
Entity
Organization
Contact information
Practice address
19731 FREDERICK RD, GERMANTOWN, MD 20876-1337
(301) 528-5000
(301) 528-0700
Mailing address
19731 FREDERICK RD, GERMANTOWN, MD 20876-1337
(301) 528-5000
(301) 528-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154657344
—
MD
Enumeration date
07/31/2023
Last updated
04/22/2024
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