Individual
DR. TINA MAHMOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
11810 W MARKET PL STE 203, FULTON, MD 20759-2703
(443) 393-3241
(443) 393-3246
Mailing address
11810 W. MARKET PL, SUITE 203, FULTON, MD 20759-4856
(443) 393-3241
(443) 393-3246
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15533
MD
Other
Enumeration date
10/30/2016
Last updated
07/27/2023
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