Babak Ganjavian DDS PC
Dentist, General Practice in Frederick, MD. Organization (NPI-2).
NPI number1659664845
StatusActive
Last updated in NPPESMay 19, 2011
Details
- NPI
- 1659664845
- Entity type
- Organization (NPI-2)
- Legal business name
- Babak Ganjavian DDS PC
- Organization subpart
- No
- Enumeration date
- May 19, 2011
- Last updated
- May 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14228 | MD | Yes |
Other names
- Frederick Family Dentistry (Doing Business As)
Practice location
100 Tuscanny Dr Unit CFrederick, MD 21702-5958
Phone 301-695-1234
Mailing address
100 Tuscanny Dr Unit CFrederick, MD 21702-5958
Phone 301-695-1234
Authorized official
Babak Ganjavian
President
3016951234
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