Behnaz Bagheri DDS PC
Clinic/Center, Dental in Baltimore, MD. Organization (NPI-2).
NPI number1245040971
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1245040971
- Entity type
- Organization (NPI-2)
- Legal business name
- Behnaz Bagheri DDS PC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
4100 N Charles St Ste 113Baltimore, MD 21218-1026
Phone 410-788-1200
Mailing address
4100 N Charles St Ste 113Baltimore, MD 21218-1026
Authorized official
Sam Jalali
Office Manager
4109173013
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