Individual
DR. SHADI GHOZATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7226 LEE DEFOREST RD, SUITE 208, COLUMBIA, MD 21046-3235
(410) 872-0103
(410) 872-0105
Mailing address
7226 LEE DEFORST DR, SUITE 208, COLUMBIA, MD 21046
(410) 872-0103
(410) 872-0105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13298
MD
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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