| NPI | 1073641759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHVASH ZULFAGHARY Owner 410-730-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11926) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |