| NPI | 1922419159 |
|---|---|
| Doing Business As | MODERN SMILES |
| Entity Type | Organization |
| Authorized Contact | ALI REZA FORGHANI Dentist 240-292-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14585) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |