KOOSHA FARNOOSH

CROFTON, MD
NPI1801270996
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MD  15963)
Enumeration Date2015-07-17
Last Update Date2015-07-17
Business Address
-- KOOSHA FARNOOSH
1286 STATE ROUTE 3 S STE 7
CROFTON, MD 21114-1340
Phone number: 410-721-7629
Mailing Address
-- KOOSHA FARNOOSH
1286 STATE ROUTE 3 N #7
CROFTON, MD 21114
Phone number: