En Dental, Llc | |
3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 | |
(410) 484-2717 | |
Not Available |
Full Name | En Dental, Llc |
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Speciality | Dentist |
Location | 3635 Old Court Rd, Pikesville, Maryland |
Authorized Official Name and Position | Payam Nourmand (DENTIST) |
Authorized Official Contact | 4104842717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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En Dental, Llc 3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 Ph: () - | En Dental, Llc 3635 Old Court Rd Ste. 510 Pikesville MD 21208-3915 Ph: (410) 484-2717 |
NPI Number | 1386027514 |
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Provider Enumeration Date | 07/07/2015 |
Last Update Date | 07/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386027514 | NPI | - | NPPES |
021677100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14008 (Maryland) | Primary |
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