Organization
CHURCHVILLE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHID Z SHAHRY D.D.S. (OWNER/DENTIST)
(410) 838-5776
Entity
Organization
Contact information
Practice address
1402 E CHURCHVILLE RD, BEL AIR, MD 21014-4708
(410) 838-5776
(410) 879-3701
Mailing address
1402 E CHURCHVILLE RD, BEL AIR, MD 21014-4708
(410) 838-5776
(410) 879-3701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11612
MD
Other
Enumeration date
08/20/2009
Last updated
03/12/2012
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