Organization
AZIMAIE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHA AZIMAIE M.S. D.M.D. M.S.E. (PRESIDENT/OWNER)
(301) 747-0575
Entity
Organization
Contact information
Practice address
308 MAIN ST, GAITHERSBURG, MD 20878-6574
(301) 747-0575
Mailing address
308 MAIN ST, GAITHERSBURG, MD 20878-6574
(301) 747-0575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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