Provider Demographics
NPI:1528361714
Name:DAMGHANI, SAHAR (DMD)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:DAMGHANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6080 FALLS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2498
Mailing Address - Country:US
Mailing Address - Phone:410-372-0202
Mailing Address - Fax:
Practice Address - Street 1:6080 FALLS RD STE 202
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2498
Practice Address - Country:US
Practice Address - Phone:410-372-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14556122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist