Individual
HASSAN DAVALLOO-GHAJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20111 CIDER BARREL DR, GERMANTOWN, MD 20876-2708
(954) 829-5552
Mailing address
20111 CIDER BARREL DR, GERMANTOWN, MD 20876-2708
(954) 829-5552
(240) 654-4743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19173
FL
Other
Enumeration date
08/03/2011
Last updated
12/19/2013
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