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Individual

ASHLEY IZADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
5801 RITCHIE HWY, BALTIMORE, MD 21225-3742
(410) 789-4455
(410) 789-4459
Mailing address
1209 N CHARLES ST, 425, BALTIMORE, MD 21201-5654
(410) 382-0357

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13586
MD

Other

Enumeration date
05/11/2009
Last updated
05/11/2009
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