| Quince Orchard Dental Specialists Llc | |
|
845 Quince Orchard Blvd Ste L Gaithersburg MD 20878-1676 | |
| (301) 527-2725 | |
| Not Available |
| Full Name | Quince Orchard Dental Specialists Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 Quince Orchard Blvd Ste L, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mohammad M Rouhanian (OWNER/PRESIDENT/DENTIST) |
| Authorized Official Contact | 3015272725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quince Orchard Dental Specialists Llc 845 Quince Orchard Blvd Ste L Gaithersburg MD 20878-1676 Ph: () - | Quince Orchard Dental Specialists Llc 845 Quince Orchard Blvd Ste L Gaithersburg MD 20878-1676 Ph: (301) 527-2725 |
| NPI Number | 1962903864 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 08/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962903864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 14130 (Maryland) | Primary |
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