Provider Demographics
NPI:1962675611
Name:ARIF MASOOD MSD, PC
Entity Type:Organization
Organization Name:ARIF MASOOD MSD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-838-9300
Mailing Address - Street 1:9850 KEY WEST AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3904
Mailing Address - Country:US
Mailing Address - Phone:301-838-9300
Mailing Address - Fax:301-838-9304
Practice Address - Street 1:9850 KEY WEST AVE STE 302
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3904
Practice Address - Country:US
Practice Address - Phone:301-838-9300
Practice Address - Fax:301-838-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD12091261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental