Organization
DELMARVA SMILE CORNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHID Z. SHAHRY DDS (OWNER/DENTIST)
(410) 937-3332
Entity
Organization
Contact information
Practice address
213 MARYLAND AVE., SALISBURY, MD 21801
(410) 937-3332
(410) 879-3701
Mailing address
1112 JANICE CT., JOPPA, MD 21085
(410) 937-3332
(410) 879-3701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11612
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114251030
—
MD
01
—
1679683783
INDIVIDUAL NPI
MD
Enumeration date
10/27/2016
Last updated
10/27/2016
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