Individual
SHIDEH EMDADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
8 RUSSELL AVE, 104, GAITHERSBURG, MD 20877-2966
(301) 869-2500
(301) 926-7655
Mailing address
23116 TIMBER CREEK LN, CLARKSBURG, MD 20871-4019
(301) 208-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14134
MD
Other
Enumeration date
01/09/2009
Last updated
08/05/2021
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