# HOSSEIN MAHBOUBI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245497189
- **Authorized official:** HOSSEIN MAHBOUBI MD (DENTIST)
- **Authorized official phone:** (301) 871-8700

## Contact information

- **Practice address:** 4307 BEL PRE ROAD, ROCKVILLE, MD 20853
- **Practice address phone:** (301) 871-8700
- **Practice address fax:** (301) 871-6979
- **Mailing address:** 4307 BEL PRE ROAD, ROCKVILLE, MD 20853
- **Mailing address phone:** (301) 871-8700
- **Mailing address fax:** (301) 871-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11731 | MD | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008