Individual
DR. ANIS TEBYANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D. M.D.
Contact information
Practice address
18109 PRINCE PHILIP DR STE 245, OLNEY, MD 20832-1597
(301) 924-2155
(301) 924-2376
Mailing address
18109 PRINCE PHILIP DR STE 245, OLNEY, MD 20832-1597
(301) 924-2155
(310) 924-2376
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16265
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30761
TX
Other
Enumeration date
05/22/2010
Last updated
12/11/2019
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