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Organization

JAVOD K GOL DDS PC

Active
Other names
Precision Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAVOD KAZEMIZADEH GOL DDS (OWNER/DENTIST)
(410) 884-0262
Entity
Organization

Contact information

Practice address
8850 COLUMBIA 100 PKWY, SUITE 312, COLUMBIA, MD 21045-2374
(410) 884-0262
(410) 884-0263
Mailing address
8850 COLUMBIA 100 PKWY, SUITE 312, COLUMBIA, MD 21045-2374
(410) 884-0262
(410) 884-0263

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15417
MD

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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