Provider Demographics
NPI:1225859093
Name:CATONSVILLE SMILES AND DENTAL CARE
Entity type:Organization
Organization Name:CATONSVILLE SMILES AND DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:410-242-5012
Mailing Address - Street 1:4 EAST ROLLING CROSSROADS
Mailing Address - Street 2:STE 104
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3100
Mailing Address - Country:US
Mailing Address - Phone:410-242-5012
Mailing Address - Fax:
Practice Address - Street 1:4 EAST ROLLING CROSSROADS
Practice Address - Street 2:STE 104
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-747-2566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental