| Gaithersburg Modern Dentistry, Llc | |
|
812 Muddy Branch Rd Gaithersburg MD 20878-2780 | |
| (240) 801-3138 | |
| (240) 821-5953 |
| Full Name | Gaithersburg Modern Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 812 Muddy Branch Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Ali Shahrestani (OWNER) |
| Authorized Official Contact | 2408013138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg Modern Dentistry, Llc Po Box 920050 Dallas TX 75392-0050 Ph: () - | Gaithersburg Modern Dentistry, Llc 812 Muddy Branch Rd Gaithersburg MD 20878-2780 Ph: (240) 801-3138 |
| NPI Number | 1578242780 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578242780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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