| Main Street Family Dentistry | |
|
371 Main St Gaithersburg MD 20878-5539 | |
| (301) 519-3100 | |
| (301) 519-3177 |
| Full Name | Main Street Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 371 Main St, Gaithersburg, Maryland |
| Authorized Official Name and Position | Roya Moazzez (DENTIST) |
| Authorized Official Contact | 3015193100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Dentistry 371 Main St Gaithersburg MD 20878-5539 Ph: (301) 519-3100 | Main Street Family Dentistry 371 Main St Gaithersburg MD 20878-5539 Ph: (301) 519-3100 |
| NPI Number | 1184891905 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184891905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12651 (Maryland) | Primary |
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