Individual
SINA BEHMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1727 GORSUCH AVE, BALTIMORE, MD 21218-4927
(443) 410-4548
Mailing address
1727 GORSUCH AVE, BALTIMORE, MD 21218-4927
(443) 410-4548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401414213
VA
1223G0001X
General Practice Dentistry
Primary
154457
MD
Other
Enumeration date
01/30/2014
Last updated
12/11/2022
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