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1629732300
MODERN SMILE DENTAL
GAITHERSBURG, MD
NPI
1629732300
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Entity Type
Organization
Authorized Contact
MICHELLE JANBAKHSH
Dentist
202-409-3178
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
MODERN SMILE DENTAL
901 RUSSELL AVE STE 100
GAITHERSBURG, MD 20879-3281
Phone number: 301-977-8640
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Mailing Address
MODERN SMILE DENTAL
11801 KIGGER JACK LN
CLARKSBURG, MD 20871-9310
Phone number: 202-409-3178
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