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Mitra Derakhshan, DDS MS

NPI 1962916783 · on the registry since 2017

Practice

Address
5082 Dorsey Hall Dr Ste 202
Ellicott City, MD 21042
Phone
(202) 445-4972
Organisation at this address
Ox Orthodontix, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 5820 Clarksville Square Dr Ste 104, Clarksville, MD

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
1223X0400X
Licence states on file
DC, CA, MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland