Individual
DR. MAHVASH ZULFAGHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8170 MAPLE LAWN BLVD, SUITE#150, FULTON, MD 20759-2537
(240) 456-0717
(240) 456-0719
Mailing address
11535 FOX RIVER DR, ELLICOTT CITY, MD 21042-6279
(410) 740-2395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11926
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228939
TRIGON VA
MD
01
—
256537
MAMSI UNITED HEALTHCARE
MD
01
—
30396
AETNA HMO
MD
01
—
7458
BLUE CROSS BLUE SHIELD
MD
01
—
903494
UNITED CONCORDIA CO. INC.
MD
01
—
930396
AETNA PPO
MD
Enumeration date
11/17/2006
Last updated
12/14/2010
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