Provider Demographics
NPI:1205525003
Name:NAGUIB, MAGD
Entity type:Individual
Prefix:DR
First Name:MAGD
Middle Name:
Last Name:NAGUIB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W LOMBARD ST APT 204
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2522
Mailing Address - Country:US
Mailing Address - Phone:561-454-9705
Mailing Address - Fax:
Practice Address - Street 1:8501 LA SALLE RD STE 306
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5925
Practice Address - Country:US
Practice Address - Phone:410-296-7599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD178261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice