Provider Demographics
NPI:1043377963
Name:LENGADE AND ZOLFAGHARI LLC
Entity type:Organization
Organization Name:LENGADE AND ZOLFAGHARI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LENGADE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-257-3233
Mailing Address - Street 1:10020 SOUTHERN MD BLVD
Mailing Address - Street 2:STE 201A
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754
Mailing Address - Country:US
Mailing Address - Phone:410-257-3233
Mailing Address - Fax:410-257-0805
Practice Address - Street 1:10020 SOUTHERN MD BLVD
Practice Address - Street 2:STE 201A
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754
Practice Address - Country:US
Practice Address - Phone:410-257-3233
Practice Address - Fax:410-257-0805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1223G0001X122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty