A.davanlou Dds,pa

NPI #1013133370 in Elkridge, Maryland

Provider Information

NPI Number: 1013133370
Entity Type: Organization
Organization Name: A.davanlou Dds,pa
Primary Specialty: Dentist
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8180 LARK BROWN RD
Address 2: SUITE 202
City: Elkridge
State: Maryland
ZIP Code: 21075-6425
Phone: (410) 799-7172

Authorized Official

Name: DR. AZITA DAVANLOU, DDS
Title: OWNER
Phone: (410) 799-7172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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