Main Street Family Dentistry
NPI #1184891905 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1184891905
- Entity Type
- Organization
- Organization Name
- Main Street Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2008
- Last Updated
- May 12, 2008
Practice Location
- Address
- 371 MAIN ST
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878-5539
- Phone
- (301) 519-3100
Authorized Official
- Name
- DR. ROYA MOAZZEZ, D.M.D.
- Title
- DENTIST
- Phone
- (301) 519-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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