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Organization

TIMONIUM FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD ELKHATIB DMD (SOLE MEMBER)
(240) 328-2309
Entity
Organization

Contact information

Practice address
22 W PADONIA RD, SUITE 232, TIMONIUM, MD 21093-2226
(410) 252-5455
Mailing address
22 W PADONIA RD, SUITE 232, TIMONIUM, MD 21093-2226
(410) 252-5455

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15446
MD

Other

Enumeration date
11/11/2015
Last updated
12/21/2015
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