Organization
R3 DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA OMID RAJAEI D.D.S. (PRESIDENT)
(617) 599-0599
Entity
Organization
Contact information
Practice address
14301 LAYHILL RD STE 102, SILVER SPRING, MD 20906-1937
(301) 438-1200
Mailing address
14301 LAYHILL RD STE 102, SILVER SPRING, MD 20906-1937
(301) 438-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13854
MD
Other
Enumeration date
03/14/2013
Last updated
10/18/2022
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