| Githersburg Dental Associates | |
|
8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 | |
| (301) 869-2500 | |
| (301) 926-7655 |
| Full Name | Githersburg Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8 Russell Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mandana Goodarzi Logmanni (PRESIDENT) |
| Authorized Official Contact | 3018692500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Githersburg Dental Associates 8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 Ph: (301) 869-2500 | Githersburg Dental Associates 8 Russell Ave Suite 104 Gaithersburg MD 20877-2966 Ph: (301) 869-2500 |
| NPI Number | 1073654133 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073654133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13266 (Maryland) | Primary |
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