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Individual

DR. OMAR K MAHMASSANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5910 FREDERICK CROSSING LN, SUITE 101, FREDERICK, MD 21704-5112
(301) 662-4422
(301) 965-8360
Mailing address
5910 FREDERICK CROSSING LN, SUITE 101, FREDERICK, MD 21704-5112
(301) 662-4422
(301) 965-8360

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10913
MD
332BC3200X
Customized Equipment (DME)
10913
MD

Other

Enumeration date
06/25/2006
Last updated
04/28/2026
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