Revive Implant and Family Dental Center

NPI #1295559359 in Gaithersburg, Maryland

Provider Information

NPI Number: 1295559359
Entity Type: Organization
Organization Name: Revive Implant and Family Dental Center
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2024
Last Updated: Nov 14, 2024

Practice Location

Address: 811 RUSSELL AVE STE C
City: Gaithersburg
State: Maryland
ZIP Code: 20879-3524
Phone: (703) 626-0460

Authorized Official

Name: DR. SAMEEA MAHMUD, DMD
Title: DENTIST
Phone: (703) 626-0460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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