Individual
DR. JAVOD KAZEMIZADEH GOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4321 COLLINGTON RD, BOWIE, MD 20716-2259
(301) 809-0029
Mailing address
4321 COLLINGTON RD, SUITE 210, BOWIE, MD 20716
(301) 809-0029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15417
MD
Other
Enumeration date
06/27/2013
Last updated
03/25/2015
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