| Gaithersburg Dental Associates | |
|
8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 | |
| (301) 869-2500 | |
| (301) 926-7655 |
| Full Name | Gaithersburg Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8 Russell Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mandana Goodarzi1 Logmanni (OWNER/PRESIDENT) |
| Authorized Official Contact | 3018692500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg Dental Associates 8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 Ph: (301) 869-2500 | Gaithersburg Dental Associates 8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 Ph: (301) 869-2500 |
| NPI Number | 1124423462 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124423462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13266 (Maryland) | Primary |
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