Organization
GREENWAY FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASAMAN HAKAKIAN DMD (DENTIST)
(443) 768-3192
Entity
Organization
Contact information
Practice address
30 GREENWAY ST NW STE 6, GLEN BURNIE, MD 21061-3557
(410) 761-6100
Mailing address
30 GREENWAY ST NW STE 6, GLEN BURNIE, MD 21061-3557
(410) 761-6100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/06/2021
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