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NPI Code Detail

MEDICARE: DR. AISHA SADAF DMD

MEDICARE: DR. AISHA SADAF DMD
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
11223G0001XGeneral Practice Dentistry17206MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117206OTHERMDMARYLAND STATE BOARD OF DENTAL LICENSE #

General Provider Information

NPI Number : 1417557851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AISHA SADAF DMD
Provider Business Mailing Address
First Line : 476 COLONIAL RIDGE LN
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2392
Country : US
Telephone Number : 443-949-2298
Fax Number :
Provider Business Practice Location Address
First Line : 22 KENT TOWN MARKET
Second Line :
City : CHESTER
State : MD
Zip : 21619-2632
Country : US
Telephone Number : 410-643-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 11/27/2020

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