Individual
SAIF SAAD AL-BUSTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 737-5000
Mailing address
11604 WHITETAIL LN, ELLICOTT CITY, MD 21042-1436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8644
OR
208200000X
Plastic Surgery Physician
Primary
D79491
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2007
Last updated
06/02/2021
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