Individual
MAHSHID MAJLESSI KOOPAEEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 MAIN ST, GAITHERSBURG, MD 20878-6574
(301) 977-9787
Mailing address
1145 19TH ST NW STE 314, WASHINGTON, DC 20036-3717
(202) 701-1555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15162
MD
1223E0200X
Endodontics
DEN1001123
DC
Other
Enumeration date
04/18/2013
Last updated
05/09/2023
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