| Lakeside Dental Smiles Llc | |
|
100 Lakeforest Blvd Ste 620 Gaithersburg MD 20877-6203 | |
| (301) 990-7778 | |
| Not Available |
| Full Name | Lakeside Dental Smiles Llc |
|---|---|
| Speciality | Dentist |
| Location | 100 Lakeforest Blvd Ste 620, Gaithersburg, Maryland |
| Authorized Official Name and Position | Alireza Rajaei (OWNER) |
| Authorized Official Contact | 6175990599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental Smiles Llc 100 Lakeforest Blvd Ste 620 Gaithersburg MD 20877-6203 Ph: () - | Lakeside Dental Smiles Llc 100 Lakeforest Blvd Ste 620 Gaithersburg MD 20877-6203 Ph: (301) 990-7778 |
| NPI Number | 1033953005 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033953005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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