Organization
GAITHERSBURG DENTAL ASSOCIATES
Active
Other names
Logmanni Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDANA GOODARZI1 LOGMANNI D.D.S. (OWNER/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
261QD0000X
Dental Clinic/Center
Primary
13266
MD
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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