Gaithersburg Modern Dentistry, LLC
NPI #1578242780 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1578242780
- Entity Type
- Organization
- Organization Name
- Gaithersburg Modern Dentistry, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 14, 2023
- Last Updated
- Jul 14, 2023
Practice Location
- Address
- 812 MUDDY BRANCH RD
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878-2780
- Phone
- (240) 801-3138
Authorized Official
- Name
- ALI SHAHRESTANI, DMD
- Title
- OWNER
- Phone
- (240) 801-3138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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