DR. Kiumars Elyasi, D.D.S.

NPI #1669468500 in Jessup, Maryland

Provider Information

NPI Number: 1669468500
Entity Type: Individual
Name: DR. Kiumars Elyasi, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 26, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 8450 DORSEY RUN RD
City: Jessup
State: Maryland
ZIP Code: 20794-9486
Phone: (410) 724-3153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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