| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1653 Elkton Road, Elkton, Maryland |
| Authorized Official Name and Position | Vargha Abbasian (PRESIDENT/OWNER) |
| Authorized Official Contact | 4106207055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1653 Elkton Road Elkton MD 21921 Ph: (410) 620-7055 | 1653 Elkton Road Elkton MD 21921 Ph: (410) 620-7055 |
| NPI Number | 1811090251 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811090251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13713 (Maryland) | Primary |
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