Individual
DR. SALAR AZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1020 MILL POND RD, FREDERICK, MD 21701-9427
(240) 423-4243
Mailing address
1020 MILL POND RD STE F, FREDERICK, MD 21701-9428
(240) 423-4243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16369
MD
1223P0300X
Periodontics
Primary
16369
MD
1223P0300X
Periodontics
DEN1002104
DC
Other
Enumeration date
06/09/2017
Last updated
07/16/2020
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