Organization
PEDIATRIC DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA PARYAVI DDS (PEDIATRIC DENTIST)
(301) 360-9692
Entity
Organization
Contact information
Practice address
1011 E PATRICK ST, FREDERICK, MD 21701-3119
(301) 360-9692
(301) 668-9692
Mailing address
1011 E PATRICK ST, FREDERICK, MD 21701-3119
(301) 360-9692
(301) 668-9692
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11552
MD
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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