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Contact Information

AESTHETIC & FAMILY DENTAL CARE
8170 MAPLE LAWN BLVD
SUITE#150
FULTON, MD20759-2537
 Phone: 240-456-0717
 Fax: 240-456-0719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AESTHETIC & FAMILY DENTAL CARE

NPI Number 1528108214
LBN Legal business name AESTHETIC & FAMILY DENTAL CARE
Authorized official MAHVASH ZULFAGHARY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 12/14/2010 - About 15 years ago
Identifiers
MD License # 11926
MD Other 30396 AETNA HMO
MD Other 930396 AETNA PPO
MD Other 7458 BCBS
MD Other IB03TT DENTAMAX
MD Other 256537 MAMSI
MD Other 228939 TRIGON VA
MD Other 903494 UNITED CONCORDIA
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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