| Pediatric Dental Group,llc | |
|
19610 Club House Rd Gaithersburg MD 20886-3035 | |
| (301) 793-1288 | |
| Not Available |
| Full Name | Pediatric Dental Group,llc |
|---|---|
| Speciality | Dentist |
| Location | 19610 Club House Rd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Amir Tofigh (MEMBER) |
| Authorized Official Contact | 3017931288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group,llc 19610 Club House Rd Gaithersburg MD 20886-3035 Ph: (301) 793-1288 | Pediatric Dental Group,llc 19610 Club House Rd Gaithersburg MD 20886-3035 Ph: (301) 793-1288 |
| NPI Number | 1699426668 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699426668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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