Modern Dentistry 1 Llc | |
174 Thomas Johnson Dr Ste 200 Frederick MD 21702-4579 | |
(301) 695-9446 | |
Not Available |
Full Name | Modern Dentistry 1 Llc |
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Speciality | Dentist - General Practice |
Location | 174 Thomas Johnson Dr Ste 200, Frederick, Maryland |
Authorized Official Name and Position | Afshin Nateghi (DENTIST) |
Authorized Official Contact | 6692375910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Dentistry 1 Llc 6044 Loganwood Dr Rockville MD 20852-3459 Ph: () - | Modern Dentistry 1 Llc 174 Thomas Johnson Dr Ste 200 Frederick MD 21702-4579 Ph: (301) 695-9446 |
NPI Number | 1265293732 |
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Provider Enumeration Date | 01/22/2024 |
Last Update Date | 01/22/2024 |
Identifier | Type | State | Issuer |
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1265293732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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