Organization
MOCO PEDIATRIC DENTISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ZAGHI DMD (OWNER)
(917) 846-7655
Entity
Organization
Contact information
Practice address
9210 CORPORATE BLVD STE 430, ROCKVILLE, MD 20850-6259
(917) 846-7655
Mailing address
9210 CORPORATE BLVD STE 430, ROCKVILLE, MD 20850-6259
(917) 846-6555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/18/2021
Last updated
12/18/2023
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