| Takoma Park Endodontics | |
|
2045 University Blvd E Ste 204 Hyattsville MD 20783-4137 | |
| (240) 842-9980 | |
| Not Available |
| Full Name | Takoma Park Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2045 University Blvd E Ste 204, Hyattsville, Maryland |
| Authorized Official Name and Position | Shahryar Nasir Khaliq (ENDODONTIST) |
| Authorized Official Contact | 3012750833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Takoma Park Endodontics 2045 University Blvd E Ste 204 Hyattsville MD 20783-4137 Ph: () - | Takoma Park Endodontics 2045 University Blvd E Ste 204 Hyattsville MD 20783-4137 Ph: (240) 842-9980 |
| NPI Number | 1649754482 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649754482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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