Individual
ELIAS KAMAL ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7360 GUILFORD DR STE 102, FREDERICK, MD 21704-5128
(301) 668-2662
Mailing address
7360 GUILFORD DR STE 102, FREDERICK, MD 21704-5128
(301) 668-2662
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16676
MD
1223P0221X
Pediatric Dentistry
Primary
16676
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913115900
—
MD
Enumeration date
05/06/2018
Last updated
12/13/2023
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