Organization
GAITHERSBURG DENTAL ASSOCIATE PA
Active
Other names
Logmanni Dental Associates, Githersburg Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDANA GOODARZI LOGMANNI D.D.S. (PRESIDENT)
(301) 869-2500
Entity
Organization
Contact information
Practice address
8 RUSSELL AVE, SUITE 104, GAITHERSBURG, MD 20877-2966
(301) 869-2500
(301) 926-7655
Mailing address
8 RUSSELL AVE, SUITE 104, GAITHERSBURG, MD 20877-2966
(301) 869-2500
(301) 926-7655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13266
MD
Other
Enumeration date
02/10/2007
Last updated
04/23/2019
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