| NPI | 1578242780 |
|---|---|
| Doing Business As | GAITHERSBURG MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner 240-801-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |