Individual
DR. SHAHLA ROGHIEH RADFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5052 DORSEY HALL DR, SUITE 103, ELLICOTT CITY, MD 21042-7750
(410) 772-9552
(410) 772-9554
Mailing address
5052 DORSEY HALL DR, SUITE 103, ELLICOTT CITY, MD 21042-7750
(410) 772-9552
(410) 772-9554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11828
MD
Other
Enumeration date
05/28/2008
Last updated
06/02/2008
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