Organization
PEDIATRIC DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA PARYAVI (PEDIATRIC DENTIST)
(240) 683-8040
Entity
Organization
Contact information
Practice address
11904 DARNESTOWN RD STE D, NORTH POTOMAC, MD 20878-3202
(240) 683-8040
Mailing address
11904 DARNESTOWN RD STE D, NORTH POTOMAC, MD 20878-3202
(240) 683-8040
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11552
MD
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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