Amitice Abtahi

NPI #1417517020 in Gambrills, Maryland

Provider Information

NPI Number: 1417517020
Entity Type: Individual
Name: Amitice Abtahi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 1166 STATE ROUTE 3 S STE 211
City: Gambrills
State: Maryland
ZIP Code: 21054-1776
Phone: (410) 721-2409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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