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5862 Hubbard Dr Rockville MD 20852-4820 | |
| (301) 984-4040 | |
| (301) 984-4419 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5862 Hubbard Dr, Rockville, Maryland |
| Authorized Official Name and Position | Parvaneh Sajjadi (PRESIDENT) |
| Authorized Official Contact | 3019844040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5862 Hubbard Dr Rockville MD 20852-4820 Ph: (301) 984-4040 | 5862 Hubbard Dr Rockville MD 20852-4820 Ph: (301) 984-4040 |
| NPI Number | 1093136160 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093136160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13885 (Maryland) | Primary |
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