Individual
SIANOUSH BADEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2210 STREAM VISTA PL APT 203, WALDORF, MD 20601-7295
(940) 536-4782
Mailing address
3950 BATTERY BLVD APT 431, WILLIAMSBURG, VA 23185-4786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18257
MD
Other
Enumeration date
03/31/2023
Last updated
02/14/2024
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