person
Dr. Justin Nassiri, DDS
Oral and Maxillofacial Surgery (Dentist) in Baltimore, Maryland
NPI 1568992279

Justin Nassiri is a Oral and Maxillofacial Surgery (Dentist) based in Fresno, MD and is specialized in Oral and Maxillofacial Surgery. Justin Nassiri practices in Baltimore, MD and has the professional credentials of DDS. The NPI Number for Justin Nassiri is 1568992279 and holds a License No. (Maryland).

The current practice location address for Justin Nassiri is 650 W Baltimore St, Baltimore, MD and can be reached out via phone at 310-626-3631.

Location: 650 W Baltimore St, Baltimore, MD, 93722-3248
person
Provider Profile Details
NPI Number
1568992279
Provider Name
Justin Nassiri
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
650 W Baltimore St, Baltimore, MD, 93722-3248
Phone Number
310-626-3631
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97463400G96047 05 CA
institution
Provider Business Practice Location Address Details
Address
650 W Baltimore St
City
State
Zip
21201-1510
Phone Number
310-626-3631
Fax Number
person
Provider Business Mailing Address Details
Address
650 W Baltimore St
City
State
Zip
21201-1510
Phone Number
310-626-3631
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
102517 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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