Individual
DR. KIUMARS ELYASI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8450 DORSEY RUN RD, JESSUP, MD 20794-9486
(410) 724-3153
Mailing address
2023 GEORGE WASHINGTON RD, VIENNA, VA 22182-3711
(703) 734-2023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10612
MD
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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