| NPI | 1922898824 |
|---|---|
| Doing Business As | MODERN DENTISTRY OF FREDERICK |
| Entity Type | Organization |
| Authorized Contact | RAHELEH MAKHMALBAF Dentist 404-723-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |