Erfan, Farrokh

Erfan, Farrokh is an sole proprietor health care provider with primary practice located at 438 N Frederick Ave Unit 100, Gaithersburg MD 20877-2461. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Erfan, Farrokh can be contacted via phone (301) 921-0048.

Contact Information

Primary practice address
438 N Frederick Ave Unit 100 Gaithersburg MD 20877-2461
Fax: (301) 963-1253
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 10630 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 0401008369 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X DEN5115 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X 54492 California

Profile Details

NPI number 1770590580
LBN Legal business name Erfan, Farrokh
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Nov 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770590580 NPPES
Maryland MEDICAID 022751000

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