| Quince Orchard Family Dentistry | |
|
902 Wind River Ln Ste 204 Gaithersburg MD 20878-1977 | |
| (301) 948-5656 | |
| (301) 519-9164 |
| Full Name | Quince Orchard Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 902 Wind River Ln Ste 204, Gaithersburg, Maryland |
| Authorized Official Name and Position | Fariba Rafizadeh (DENTIST OWNER) |
| Authorized Official Contact | 3019485656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quince Orchard Family Dentistry 902 Wind River Ln Ste 204 Gaithersburg MD 20878-1977 Ph: (301) 948-5656 | Quince Orchard Family Dentistry 902 Wind River Ln Ste 204 Gaithersburg MD 20878-1977 Ph: (301) 948-5656 |
| NPI Number | 1366560716 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366560716 | NPI | - | NPPES |
| 12428 | Other | MD | MARYLAND STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12428 (Maryland) | Primary |
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