| Holleh Tajalli Dds Llc | |
|
1030 S Linwood Ave Unit 200 Baltimore MD 21224-5091 | |
| (410) 707-3704 | |
| Not Available |
| Full Name | Holleh Tajalli Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1030 S Linwood Ave Unit 200, Baltimore, Maryland |
| Authorized Official Name and Position | Holleh Tajalli (OWNER AND DENTIST) |
| Authorized Official Contact | 4107073704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holleh Tajalli Dds Llc 1633 Covington St Baltimore MD 21230-4711 Ph: (410) 707-3704 | Holleh Tajalli Dds Llc 1030 S Linwood Ave Unit 200 Baltimore MD 21224-5091 Ph: (410) 707-3704 |
| NPI Number | 1598262776 |
|---|---|
| Provider Enumeration Date | 04/12/2018 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598262776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15974 (Maryland) | Primary |
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