Dream Smiles Pediatric Dentistry Of Gaithersburg
Clinic/Center, Dental in Gaithersburg, MD. Organization (NPI-2).
NPI number1992379168
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1992379168
- Entity type
- Organization (NPI-2)
- Legal business name
- Dream Smiles Pediatric Dentistry Of Gaithersburg
- Organization subpart
- No
- Enumeration date
- May 13, 2021
- Certification date
- May 12, 2021
- Last updated
- May 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
818 W Diamond Ave Ste 220Gaithersburg, MD 20878-1458
Phone 617-763-2002
Mailing address
818 W Diamond Ave Ste 220Gaithersburg, MD 20878-1458
Authorized official
Firouzeh Jamshidi
Pediatric Dentist
6177632002
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All 25 Dental Clinic/Center providers in Gaithersburg · All 3,595 providers in Gaithersburg
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