Organization
ODENTON ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA RAJAEI DDS (OWNER)
(617) 599-0599
Entity
Organization
Contact information
Practice address
1215 ANNAPOLIS RD STE 207, ODENTON, MD 21113-1346
(410) 551-9531
Mailing address
1215 ANNAPOLIS RD STE 207, ODENTON, MD 21113-1346
(410) 551-9531
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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