Individual
DR. BABAK GANJAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 TUSCANNY DR UNIT C, FREDERICK, MD 21702-5958
(301) 695-1234
Mailing address
6204 YORKSHIRE TER, BETHESDA, MD 20814-2244
(301) 526-9956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14228
MD
Other
Enumeration date
01/21/2009
Last updated
05/19/2011
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