Individual
MITRA PARSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5700 RITCHIE HWY, BROOKLYN PARK, MD 21225-3641
(410) 589-0711
Mailing address
1449 SAN AMARO RD, JACKSONVILLE, FL 32207-7530
(904) 993-4006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401412249
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11502
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16957
MD
Other
Enumeration date
11/20/2007
Last updated
03/21/2024
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