Ben Manesh DDS PC IV
Dentist, General Practice in Gaithersburg, MD. Organization (NPI-2).
NPI number1508911041
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1508911041
- Entity type
- Organization (NPI-2)
- Legal business name
- Ben Manesh DDS PC IV
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10772 | MD | Yes |
Practice location
237 Kentlands BlvdGaithersburg, MD 20878-5446
Phone 301-987-5200
Mailing address
237 Kentlands BlvdGaithersburg, MD 20878-5446
Phone 301-987-5200
Authorized official
Roxana Homayoun
Managing Partner
3019875200
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