| NPI | 1811709900 |
|---|---|
| Former Legal Business Name | BEHNAZ BAGHERI |
| Entity Type | Organization |
| Authorized Contact | SAM JALALI Office Manager 410-917-3013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |