Organization
MONTGOMERY VILLAGE DENTAL CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHRAM NASELRI DMD (DENTIST)
(301) 548-8888
Entity
Organization
Contact information
Practice address
18544 OFFICE PARK DRIVE, GAITHERSBURG, MD 20886
(301) 548-8888
(301) 548-9037
Mailing address
18544 OFFICE PARK DRIVE, GAITHERSBURG, MD 20886
(301) 548-8888
(301) 548-9037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11656
MD
Other
Enumeration date
03/22/2007
Last updated
03/17/2008
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