Lakeside Dental Smiles LLC

NPI #1033953005 in Gaithersburg, Maryland

Provider Information

NPI Number: 1033953005
Entity Type: Organization
Organization Name: Lakeside Dental Smiles LLC
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2024
Last Updated: Jun 24, 2024

Practice Location

Address: 100 LAKEFOREST BLVD STE 620
City: Gaithersburg
State: Maryland
ZIP Code: 20877-6203
Phone: (301) 990-7778

Authorized Official

Name: ALIREZA RAJAEI
Title: OWNER
Phone: (617) 599-0599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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