Pediatric Dental Care
Dentist, Pediatric Dentistry in North Potomac, MD. Organization (NPI-2).
NPI number1649641663
StatusActive
Last updated in NPPESOct 16, 2015
Details
- NPI
- 1649641663
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Dental Care
- Organization subpart
- No
- Enumeration date
- Oct 16, 2015
- Last updated
- Oct 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 11552 | MD | Yes |
Practice location
11904 Darnestown Rd Ste DNorth Potomac, MD 20878-3202
Phone 240-683-8040
Mailing address
11904 Darnestown Rd Ste DNorth Potomac, MD 20878-3202
Phone 240-683-8040
Authorized official
Fariba Paryavi
Pediatric Dentist
2406838040
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