Organization
SEQUENCE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA OMID RAJAEI DDS (OWNER)
(617) 599-0599
Entity
Organization
Contact information
Practice address
603 POST OFFICE RD STE 109, WALDORF, MD 20602-1914
(617) 599-0599
Mailing address
603 POST OFFICE RD STE 109, WALDORF, MD 20602-1914
(617) 599-0599
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
13854
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13854
MD
Other
Enumeration date
10/02/2015
Last updated
06/17/2019
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