Organization
SASAN MOGHADDAME-JAFARI MS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASAN MOGHADDAME-JAFARI (PRESIDENT)
(301) 984-3636
Entity
Organization
Contact information
Practice address
11921 ROCKVILLE PIKE, 405, ROCKVILLE, MD 20852-2737
(301) 984-3636
Mailing address
11921 ROCKVILLE PIKE, 405, ROCKVILLE, MD 20852-2737
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13190
MD
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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