Organization
MODEL DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGHIEH ATAPOUR (OWNER DENTIST)
(410) 730-6666
Entity
Organization
Contact information
Practice address
9520 BERGER RD STE 105, COLUMBIA, MD 21046-1554
(410) 730-6666
(410) 730-3501
Mailing address
9520 BERGER RD STE 105, COLUMBIA, MD 21046-1554
(410) 730-6666
(410) 730-3501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12619
MD
Other
Enumeration date
03/09/2007
Last updated
04/25/2024
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