Provider Demographics
NPI:1417245309
Name:SIAR S KARMAND
Entity Type:Organization
Organization Name:SIAR S KARMAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SIAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:KARMAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-754-1100
Mailing Address - Street 1:10301 GEORGIA AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5020
Mailing Address - Country:US
Mailing Address - Phone:301-754-1100
Mailing Address - Fax:301-754-1101
Practice Address - Street 1:10301 GEORGIA AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5020
Practice Address - Country:US
Practice Address - Phone:301-754-1100
Practice Address - Fax:301-754-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD132031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty