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Organization

BEN MANESH DDS PC IV

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANA HOMAYOUN (MANAGING PARTNER)
(301) 987-5200
Entity
Organization

Contact information

Practice address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 987-5200
Mailing address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 987-5200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10772
MD

Other

Enumeration date
01/24/2007
Last updated
08/22/2020
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