Aesthetic Dental Center Of Columbia | |
10700 Charter Dr Ste 340 Columbia MD 21044-3695 | |
(410) 730-7779 | |
(410) 730-9111 |
Full Name | Aesthetic Dental Center Of Columbia |
---|---|
Speciality | Dentist - General Practice |
Location | 10700 Charter Dr Ste 340, Columbia, Maryland |
Authorized Official Name and Position | Mahvash Zulfaghary (OWNER) |
Authorized Official Contact | 4107307779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aesthetic Dental Center Of Columbia 10700 Charter Dr Ste 340 Columbia MD 21044-3695 Ph: (410) 730-7779 | Aesthetic Dental Center Of Columbia 10700 Charter Dr Ste 340 Columbia MD 21044-3695 Ph: (410) 730-7779 |
NPI Number | 1073641759 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073641759 | NPI | - | NPPES |
7200790 | Other | MD | MAMSI |
1440472 | Other | MD | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11926 (Maryland) | Primary |
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