Organization
FARRAGUT FAMILY ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID REZA SARANJAM DDS (OWNER DOCTOR)
(240) 751-8206
Entity
Organization
Contact information
Practice address
818 18TH ST NW STE 747, WASHINGTON, DC 20006-3513
(240) 751-8206
Mailing address
818 18TH ST NW STE 747, WASHINGTON, DC 20006-3513
(240) 751-8206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097075600
—
DC
Enumeration date
09/17/2019
Last updated
09/17/2019
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