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1104347301
MITRA DAVANINEJAD
FREDERICK, MD
NPI
1104347301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 16403)
Enumeration Date
2017-06-28
Last Update Date
2022-07-21
Business Address
Dr. MITRA DAVANINEJAD DDS
4959 WESTVIEW DR STE F
FREDERICK, MD 21703-7369
Phone number: 240-815-6949
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Mailing Address
Dr. MITRA DAVANINEJAD DDS
18931 HIGHSTREAM DR
GERMANTOWN, MD 20874-6168
Phone number: 240-643-4228
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