Azita Davanlou, DDS

NPI #1093726846 in Elkridge, Maryland

Provider Information

NPI Number: 1093726846
Entity Type: Individual
Name: Azita Davanlou, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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