Organization
PAISLEY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA MAHMOUDI DDS, MS (ORTHODONTIST)
(410) 493-2367
Entity
Organization
Contact information
Practice address
11810 W MARKET PL STE 203, FULTON, MD 20759-2703
(301) 957-9677
Mailing address
11810 W MARKET PL STE 203, FULTON, MD 20759-2703
(301) 957-9677
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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