| My Frederick Dentist Llc | |
|
2100 Old Farm Dr # 1-b Frederick MD 21702-9494 | |
| (301) 698-9552 | |
| Not Available |
| Full Name | My Frederick Dentist Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2100 Old Farm Dr # 1-b, Frederick, Maryland |
| Authorized Official Name and Position | Cyrus Allafi (CEO) |
| Authorized Official Contact | 3015806047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Frederick Dentist Llc 2100 Old Farm Dr # 1-b Frederick MD 21702-9494 Ph: (301) 698-9552 | My Frederick Dentist Llc 2100 Old Farm Dr # 1-b Frederick MD 21702-9494 Ph: (301) 698-9552 |
| NPI Number | 1942767074 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 08/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942767074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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