NPI 1023602695
Mitra Madani, D.D.S, LLC
Practice location
- Address
- 517 Benfield Rd STE 204, Severna Park, MD 21146-2540
- Phone
- (410) 647-7050
Authorised official
- Name
- Mitra Madani
- Title
- Dentist
- Phone
- (410) 647-7050
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023602695
- Entity type
- Organization
- NPI issued
- 24 Feb 2021
- Record last updated
- 24 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.