Provider Demographics
NPI:1003358243
Name:GHAFOOR GHAMARY DDS, LLC
Entity Type:Organization
Organization Name:GHAFOOR GHAMARY DDS, LLC
Other - Org Name:CAPITAL DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN ASST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LABARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-740-7500
Mailing Address - Street 1:14800 4TH ST
Mailing Address - Street 2:14-A
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3764
Mailing Address - Country:US
Mailing Address - Phone:301-498-1414
Mailing Address - Fax:
Practice Address - Street 1:14800 4TH ST
Practice Address - Street 2:14-A
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3764
Practice Address - Country:US
Practice Address - Phone:301-498-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8795122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty