Individual
AMIR AKHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4510 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 233-5777
Mailing address
350 N. CLARK STREET, 6TH FLOOR, CHICAGO, IL 60654
(312) 274-4520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16115
MD
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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