DR. Shahla Roghieh Radfar, DDS

NPI #1629236518 in Ellicott City, Maryland

Provider Information

NPI Number: 1629236518
Entity Type: Individual
Name: DR. Shahla Roghieh Radfar, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 28, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 5052 DORSEY HALL DR
Address 2: SUITE 103
City: Ellicott City
State: Maryland
ZIP Code: 21042-7750
Phone: (410) 772-9552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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