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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 A.DAVANLOU DDS,PA

NPI # 1013133370
LBN Legal business name A.DAVANLOU DDS,PA
Authorized official AZITA DAVANLOU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MD License # 12454
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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