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1003233156
MARYAM ROOSTA
ELLICOTT CITY, MD
NPI
1003233156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 15517)
Enumeration Date
2014-03-26
Last Update Date
2019-11-05
Business Address
MARYAM ROOSTA DDS
9335 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042-2801
Phone number: 410-465-1214
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Mailing Address
MARYAM ROOSTA DDS
5920 GREAT STAR DR UNIT 403
CLARKSVILLE, MD 21029-1362
Phone number: 410-900-6541
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