NPI | 1679683783 |
---|---|
Doing Business As | CHURCHVILLE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NAHID Z SHAHRY Dentist Owner 410-838-5776 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MD 11612) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-10-03 |