| Mishpacha Dental | |
|
3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 | |
| (410) 484-2717 | |
| Not Available |
| Full Name | Mishpacha Dental |
|---|---|
| Speciality | Dentist |
| Location | 3635 Old Court Rd, Pikesville, Maryland |
| Authorized Official Name and Position | Payam Nourmand (DENTIST) |
| Authorized Official Contact | 4104842717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mishpacha Dental 3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 Ph: () - | Mishpacha Dental 3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 Ph: (410) 484-2717 |
| NPI Number | 1386027514 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386027514 | NPI | - | NPPES |
| 021677100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14008 (Maryland) | Primary |
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