Mahmoudi, Tina

Mahmoudi, Tina is an sole proprietor health care provider with primary practice located at 11810 W Market Pl Ste 203 , Fulton MD 20759-2703. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Mahmoudi, Tina can be contacted via phone (443) 393-3241.

Contact Information

Primary practice address
11810 W Market Pl Ste 203 Fulton MD 20759-2703
Phone: (443) 393-3241
Fax: (443) 393-3246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15533 Maryland

Profile Details

NPI number 1710439328
LBN Legal business name Mahmoudi, Tina
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2016
Last updated Jul 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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