| Pediatric Dental Care, Llc | |
|
1011 E Patrick St Frederick MD 21701-3119 | |
| (301) 360-9692 | |
| (301) 668-9692 |
| Full Name | Pediatric Dental Care, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1011 E Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Fariba Paryavi (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3013609692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Care, Llc 1011 E Patrick St Frederick MD 21701-3119 Ph: (301) 360-9692 | Pediatric Dental Care, Llc 1011 E Patrick St Frederick MD 21701-3119 Ph: (301) 360-9692 |
| NPI Number | 1639554876 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639554876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 11552 (Maryland) | Primary |
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