Main Street Family Dentistry
Main Street Family Dentistry provides General Practice Dentistry in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2008.
- Licensed in
- MD
- In the registry since
- 2008
Practice location Address checks out
371 Main StGaithersburg, MD 20878-5539 Not confirmed with CMS for 18 years — call before visiting
Phone: (301) 519-3100
Fax: (301) 519-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12651 (MD) |
|---|
Record details
| NPI number | 1184891905 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roya Moazzez — Dentist · (301) 519-3100 |
| NPI enumerated | May 12, 2008 |
| Last updated in NPPES | May 12, 2008 |
| Mailing address | 371 Main St, Gaithersburg, MD 20878-5539 |
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