Individual
DR. SHAHRAM MODARRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5822 HUBBARD DR, ROCKVILLE, MD 20852-4818
(301) 816-9400
Mailing address
5822 HUBBARD DR, ROCKVILLE, MD 20852-4818
(301) 816-9400
(301) 770-9263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13188
MD
Other
Enumeration date
06/10/2006
Last updated
03/27/2012
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