Organization
REVIVE IMPLANT AND FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMEEA MAHMUD DMD (DENTIST)
(703) 626-0460
Entity
Organization
Contact information
Practice address
811 RUSSELL AVE STE C, GAITHERSBURG, MD 20879-3524
(703) 626-0460
Mailing address
811 RUSSELL AVE STE C, GAITHERSBURG, MD 20879-3524
(703) 626-0460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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