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Individual

DR. TAHA AZIMAIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, DMD, MSE

Contact information

Practice address
308 MAIN ST, GAITHERSBURG, MD 20878-6574
(301) 747-0575
Mailing address
9411 ELSMERE CT, BETHESDA, MD 20814-1601
(415) 623-8609

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17810
MD
1223G0001X
General Practice Dentistry
22DI02841700
NJ
1223G0001X
General Practice Dentistry
DEN2000224
DC

Other

Enumeration date
06/14/2021
Last updated
06/24/2024
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