Individual
MITRA Z FARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
50 W EDMONSTON DR, SUITE #605, ROCKVILLE, MD 20852-1228
(301) 762-5552
Mailing address
50 W EDMONSTON DR, SUITE #605, ROCKVILLE, MD 20852-1228
(301) 762-5552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10573
MD
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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