# WALDORF ORAL SURGERY LLC

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

## Provider details

- **NPI number:** 1720969587
- **Authorized official:** ALIREZA RAJAEI DDS (OWNER)
- **Authorized official phone:** (301) 843-8303

## Contact information

- **Practice address:** 603 POST OFFICE RD STE 110, WALDORF, MD 20602-1914
- **Practice address phone:** (301) 843-8303
- **Mailing address:** 603 POST OFFICE RD STE 110, WALDORF, MD 20602-1914
- **Mailing address phone:** (301) 843-8303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2025
- **Last updated:** 09/09/2025