Healthcare Provider Details

I. General information

NPI: 1750203451
Provider Name (Legal Business Name): QIAN HARASTA RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11155 DOLFIELD BLVD STE 204
OWINGS MILLS MD
21117-3288
US

IV. Provider business mailing address

11155 DOLFIELD BLVD STE 204
OWINGS MILLS MD
21117-3288
US

V. Phone/Fax

Practice location:
  • Phone: 410-902-4110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number8823
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: