Individual
MR. MOHAMMADREZA NABAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 N GREENE STREET, BALTIMORE, MD 21201
(410) 605-7056
Mailing address
12903 ALDERLEAF DRIVE, GERMANTOWN, MD 20874
(301) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NOT YET LICENSED
MD
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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