Provider Demographics
NPI:1285649053
Name:ARASP MIRHAKKAK-BIPARVA DENTAL CARE, P.C.
Entity Type:Organization
Organization Name:ARASP MIRHAKKAK-BIPARVA DENTAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NARGESS
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRHAKKAK-BIPARVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-208-8006
Mailing Address - Street 1:941 RUSSELL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-6206
Mailing Address - Country:US
Mailing Address - Phone:301-208-8006
Mailing Address - Fax:301-840-8434
Practice Address - Street 1:941 RUSSELL AVE STE B
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-6206
Practice Address - Country:US
Practice Address - Phone:301-208-8006
Practice Address - Fax:301-840-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty