| Modarres Dental Group | |
|
10132 Baltimore National Pike Ste C Ellicott City MD 21042-3607 | |
| (410) 465-3224 | |
| Not Available |
| Full Name | Modarres Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 10132 Baltimore National Pike Ste C, Ellicott City, Maryland |
| Authorized Official Name and Position | Alireza Modarres (CEO) |
| Authorized Official Contact | 4439289697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modarres Dental Group 7000 Braeburn Pl Bethesda MD 20817-4908 Ph: (443) 928-9697 | Modarres Dental Group 10132 Baltimore National Pike Ste C Ellicott City MD 21042-3607 Ph: (410) 465-3224 |
| NPI Number | 1891274759 |
|---|---|
| Provider Enumeration Date | 08/11/2018 |
| Last Update Date | 08/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891274759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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