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Mitra Z Fard, D.D.S Valid NPI

Individual provider · Dentist · Rockville, MD

NPI
1700023629
Type
Individual (Type 1)
Primary specialty
Dentist
Specialty group
Dental Providers
Taxonomy code
122300000X
License number
10573 (MD)
Sex
Female
Sole proprietor
Yes
Enumerated
2009-01-14
Last updated
2009-01-14
Practice location
50 W Edmonston Dr, Suite #605
Rockville, MD 20852-1228
(301) 762-5552

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