IndividualActive
Bahar Boroumand Rad, DDS
NPI 1760226591 · Pediatric Dentistry · Princess Anne, MD
Provider details
- NPI number
- 1760226591
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- LL928 (MD)
Specialties & taxonomies
Dental Providers
Practice location
12165 Elm St
Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-5151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1978
Salisbury, MD 21802-1978
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.