Organization
FORGHANI, DDS, PA
Active
Other names
Modern Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI REZA FORGHANI DDS (DENTIST)
(240) 292-4740
Entity
Organization
Contact information
Practice address
130 ROLLINS AVE, SUITE H2, ROCKVILLE, MD 20852-4093
(240) 292-4740
Mailing address
130 ROLLINS AVENUE, SUITE H2, ROCKVILLE, MD 20852
(240) 292-4740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14585
MD
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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