Primecaredentalllc
NPI #1386100048 in White Marsh, Maryland
Provider Information
- NPI Number
- 1386100048
- Entity Type
- Organization
- Organization Name
- Primecaredentalllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 18, 2019
- Last Updated
- Feb 18, 2019
Practice Location
- Address
- 11550 PHILADELPHIA RD STE 118
- City
- White Marsh
- State
- Maryland
- ZIP Code
- 21162-1305
- Phone
- (410) 256-4868
Authorized Official
- Name
- DR. ARMIN BOUTEHSAZ, DDS
- Title
- OWNER
- Phone
- (818) 288-0469
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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