Individual
BABAK SEIHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12070 OLD LINE CTR STE 101, WALDORF, MD 20602-2503
(413) 221-4979
Mailing address
12070 OLD LINE CTR STE 101, WALDORF, MD 20602-2503
(301) 645-8530
(301) 843-8570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415271
VA
122300000X
Dentist
Primary
16140
MD
Other
Enumeration date
07/01/2016
Last updated
12/18/2019
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