| NPI | 1568021012 |
|---|---|
| Doing Business As | ENDODONTICS OF GAITHERSBURG, LLC |
| Entity Type | Organization |
| Authorized Contact | ALI REZA EGHTESADI Endodontist/Owner 301-527-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2019-06-09 |