Organization
FATEMI FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD FATEMI DDS (DENTIST)
(301) 740-2686
Entity
Organization
Contact information
Practice address
604 S FREDERICK AVE, #209, GAITHERSBURG, MD 20877-1275
(301) 740-2686
Mailing address
64 SOUTH FREDERICK AVE #209, GAITHERSBURG, MD 20877
(301) 740-2686
(240) 238-2921
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
11720
MD
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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