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NPI Code Detail

MEDICARE: MAZEN M SAAD DDS

MEDICARE:   MAZEN M SAAD  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
1122300000XDentist14612MD

General Provider Information

NPI Number : 1710287651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAZEN M SAAD DDS
Provider Business Mailing Address
First Line : 5850 WATERLOO RD STE 250
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-1943
Country : US
Telephone Number : 410-465-8480
Fax Number : 410-465-7866
Provider Business Practice Location Address
First Line : 5850 WATERLOO RD STE 250
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-1943
Country : US
Telephone Number : 410-465-8480
Fax Number : 410-465-7866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2010
Last Update Date : 10/26/2010

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Directions to “ MAZEN M SAAD DDS” Practice Location

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