Provider Demographics
NPI:1679594279
Name:HONAR, SHARAREH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHARAREH
Middle Name:
Last Name:HONAR
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 1:2800 GLEN AVE
Mailing Address - Street 2:APT.E
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4152
Mailing Address - Country:US
Mailing Address - Phone:443-872-6942
Mailing Address - Fax:
Practice Address - Street 1:2800 GLEN AVE
Practice Address - Street 2:APT.E
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4152
Practice Address - Country:US
Practice Address - Phone:443-872-6942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist