Individual
ELNAZ NAZEMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
Mailing address
29795 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4106
(301) 290-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414146
VA
122300000X
Dentist
16138
MD
Other
Enumeration date
09/10/2013
Last updated
10/06/2016
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