Individual
DR. MOHAMMAD ALI TABATABAEEI-FATEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22684 THREE NOTCH RD, LEXINGTON PARK, MD 20653-2154
(301) 737-4747
Mailing address
12401 BACALL LN, POTOMAC, MD 20854-1026
(301) 812-0299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11720
MD
Other
Enumeration date
05/16/2006
Last updated
05/27/2016
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