| NPI | 1154941276 |
|---|---|
| Doing Business As | MONTGOMERY STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALIREZA KHOSHVAGHTI Director 240-672-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |