My Ellicott City Dentist LLC
NPI #1689283681 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1689283681
- Entity Type
- Organization
- Organization Name
- My Ellicott City Dentist LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 26, 2020
- Last Updated
- Nov 28, 2021
Practice Location
- Address
- 10050 BALTIMORE NATIONAL PIKE STE F110
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-3668
- Phone
- (410) 480-2000
Authorized Official
- Name
- DR. CYRUS ALLAFI, DDS
- Title
- CEO
- Phone
- (410) 480-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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