MEDICARE: PETER SABAYA 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
1	122300000X	Dentist	9172	MD

General Provider Information

NPI Number	:	1447304613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER SABAYA DDS

Provider Business Mailing Address
First Line	:	7676 NEW HAMPSHIRE AVE
Second Line	:	SUITE 400
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-7516
Country	:	US
Telephone Number	:	301-439-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	7676 NEW HAMPSHIRE AVE
Second Line	:	SUITE 400
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-7516
Country	:	US
Telephone Number	:	301-439-8444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/08/2007

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Directions to “ PETER SABAYA DDS” Practice Location

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