Organization
OLNEY MODERN DENTISTRY, LLC
Active
Other names
Olney Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER DOCTOR)
(240) 665-5485
Entity
Organization
Contact information
Practice address
3130 OLNEY SANDY SPRING RD, OLNEY, MD 20832-1408
(240) 665-5485
(240) 667-7024
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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