Organization
GEORGETOWNE PARK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI REZA EGHTESADI DDS (ENDODONTIST / OWNER)
(301) 822-4132
Entity
Organization
Contact information
Practice address
5846 HUBBARD DR, ROCKVILLE, MD 20852-4820
(301) 822-4132
(301) 822-4061
Mailing address
5846 HUBBARD DR, ROCKVILLE, MD 20852-4820
(301) 822-4132
(301) 822-4061
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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