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Individual

IBAD FARSHORI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1730 MASSEY BLVD STE 106, HAGERSTOWN, MD 21740-6973
(240) 481-6093
Mailing address
17201 EVANGELINE LN, OLNEY, MD 20832-2931
(240) 481-6093

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18067
MD

Other

Enumeration date
05/23/2023
Last updated
06/30/2023
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