Individual
FARNOUSH MIRMIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12105 DARNESTOWN RD, SUITE 18, GAITHERSBURG, MD 20878
(301) 869-6600
(301) 869-9765
Mailing address
10320 WESTLAKE DR, APT 207, BETHESDA, MD 20817
(301) 469-0406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11588
MD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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