Individual
ROYA MOAZZEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
317 MAIN ST, GAITHERSBURG, MD 20878-5538
(240) 678-4853
Mailing address
317 MAIN ST, B, GAITHERSBURG, MD 20878-5538
(240) 678-4853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12651
MD
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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