Maryam Roosta, DDS
NPI #1003233156 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1003233156
- Entity Type
- Individual
- Name
- Maryam Roosta, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 26, 2014
- Last Updated
- Nov 5, 2019
Practice Location
- Address
- 9335 BALTIMORE NATIONAL PIKE
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-2801
- Phone
- (410) 465-1214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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