Organization
SEQUENCE ORTHODONTICS
Active
Parent organization
SEQUENCE ORTHODONTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEQUENCE ORTHODONTICS
Authorized official
ALIREZA RAJAEI (OWNER)
(301) 438-1200
Entity
Organization
Contact information
Practice address
23140 MOAKLEY ST STE 3, LEONARDTOWN, MD 20650-2923
(301) 997-0666
Mailing address
603 POST OFFICE RD STE 109, WALDORF, MD 20602-1914
(301) 843-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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