Provider Demographics
NPI:1912297995
Name:MARYAM HONARKAR D.D.S., P.A.
Entity Type:Organization
Organization Name:MARYAM HONARKAR D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BEGINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-838-0687
Mailing Address - Street 1:216 W MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2803
Mailing Address - Country:US
Mailing Address - Phone:301-762-4705
Mailing Address - Fax:301-340-8459
Practice Address - Street 1:216 W MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2803
Practice Address - Country:US
Practice Address - Phone:301-762-4705
Practice Address - Fax:301-340-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty