Organization
MY FREDERICK DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS ALLAFI DDS (CEO)
(301) 580-6047
Entity
Organization
Contact information
Practice address
2100 OLD FARM DR # 1-B, FREDERICK, MD 21702-9494
(301) 698-9552
Mailing address
2100 OLD FARM DR # 1-B, FREDERICK, MD 21702-9494
(301) 698-9552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
08/06/2022
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