Individual
KHASHAYAR RAHSEPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 W PRATT ST APT 810, BALTIMORE, MD 21201-1651
(678) 882-4088
Mailing address
511 W PRATT ST APT 810, BALTIMORE, MD 21201-1651
(678) 882-4088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17624
MD
Other
Enumeration date
10/07/2022
Last updated
10/20/2022
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