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Contact Information

A.DAVANLOU DDS,PA
8180 LARK BROWN RD
SUITE 202
ELKRIDGE, MD21075-6425
 Phone: 410-799-7172
 Fax: 410-799-7132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ADAVANLOU DDSPA · (Female)

NPI Number 1013133370
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 12454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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