institution
Fariba Rafizadeh, D.m.d. P.a.
Dental Clinic/Center in Gaithersburg, Maryland
NPI 1366560716

Fariba Rafizadeh, D.m.d. P.a. is a Dental Clinic/Center based in Gaithersburg, MD and is specialized in Dental. Fariba Rafizadeh, D.m.d. P.a. practices in Gaithersburg, MD. The NPI Number for Fariba Rafizadeh, D.m.d. P.a. is 1366560716 and holds a License No. 12428 (Maryland).

The current practice location address for Fariba Rafizadeh, D.m.d. P.a. is 902 Wind River Ln Ste 204, Gaithersburg, MD and can be reached out via phone at 301-948-5656 and via fax at 301-519-9164.

Location: 902 Wind River Ln Ste 204, Gaithersburg, MD, 20878-1977
institution
Provider Profile Details
NPI Number
1366560716
Provider Name
Fariba Rafizadeh, D.m.d. P.a.
Credential
Provider Entity Type
Organization
Address
902 Wind River Ln Ste 204, Gaithersburg, MD, 20878-1977
Phone Number
301-948-5656
Fax Number
301-519-9164
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12428 01 MD MARYLAND STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
902 Wind River Ln Ste 204
City
State
Zip
20878-1977
Phone Number
301-948-5656
Fax Number
301-519-9164
person
Provider Business Mailing Address Details
Address
902 Wind River Ln Ste 204
City
State
Zip
20878-1977
Phone Number
301-948-5656
Fax Number
301-519-9164
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
12428 (Maryland)
Definition
Definition to come...
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