Individual
JACOB DANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 S CAMP MEADE RD, LINTHICUM HEIGHTS, MD 21090-2701
(410) 850-0505
Mailing address
411 S CAMP MEADE RD, LINTHICUM HEIGHTS, MD 21090-2701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18272
MD
Other
Enumeration date
07/25/2024
Last updated
08/19/2024
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