| NPI | 1659664845 |
|---|---|
| Doing Business As | FREDERICK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BABAK GANJAVIAN President 301-695-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 14228) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |