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Organization

BABAK GANJAVIAN DDS PC

Active
Other names
Frederick Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BABAK GANJAVIAN DDS (PRESIDENT)
(301) 695-1234
Entity
Organization

Contact information

Practice address
100 TUSCANNY DR UNIT C, FREDERICK, MD 21702-5958
(301) 695-1234
Mailing address
100 TUSCANNY DR UNIT C, FREDERICK, MD 21702-5958
(301) 695-1234

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14228
MD

Other

Enumeration date
05/19/2011
Last updated
05/19/2011
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