Provider Demographics
NPI:1659869345
Name:MARYLAND ELITE DENTISTRY
Entity type:Organization
Organization Name:MARYLAND ELITE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:S. AVA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAKHOODI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:484-356-6828
Mailing Address - Street 1:224 SCHILLING CIR STE 272
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:224 SCHILLING CIR STE 272
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8663
Practice Address - Country:US
Practice Address - Phone:443-353-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental