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NPI Code Detail

MEDICARE: ARYA DAVOODY DDS

MEDICARE: ARYA DAVOODY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry33853TX

General Provider Information

NPI Number : 1366970691
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARYA DAVOODY DDS
Provider Business Mailing Address
First Line : 7317 EDEN BROOK DR APT 304
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1768
Country : US
Telephone Number : 443-253-9970
Fax Number :
Provider Business Practice Location Address
First Line : 14090 MEMORIAL DR
Second Line :
City : HOUSTON
State : TX
Zip : 77079-6848
Country : US
Telephone Number : 713-714-1244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 01/26/2021

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