Provider Demographics
NPI:1598960221
Name:TOUFANIAN, SANAM EVELYN (DDS)
Entity Type:Individual
Prefix:
First Name:SANAM
Middle Name:EVELYN
Last Name:TOUFANIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 MIDDLEBROOK RD.
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:240-777-3290
Mailing Address - Fax:240-777-4162
Practice Address - Street 1:12900 MIDDLEBROOK RD.
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:240-777-3290
Practice Address - Fax:240-777-4162
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD141371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice