Organization
ENDODONTICS OF GAITHERSBURG, LLC
Active
Other names
Endodontics of Gaithersburg, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI REZA EGHTESADI DDS (ENDODONTIST/OWNER)
(301) 527-0303
Entity
Organization
Contact information
Practice address
847 QUINCE ORCHARD BLVD STE G, GAITHERSBURG, MD 20878-1677
(301) 527-0303
(301) 527-0404
Mailing address
847 QUINCE ORCHARD BLVD STE G, GAITHERSBURG, MD 20878-1677
(301) 527-0303
(301) 527-0404
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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