| Lansdowne Pediatric Dentistry | |
|
19415 Deerfield Ave Ste 304 Lansdowne VA 20176-8472 | |
| (517) 210-2771 | |
| (571) 210-0606 |
| Full Name | Lansdowne Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 19415 Deerfield Ave Ste 304, Lansdowne, Virginia |
| Authorized Official Name and Position | Sheyda Maghsoudi (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7037285798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansdowne Pediatric Dentistry 9632 Fields Rd Gaithersburg MD 20878-4738 Ph: (703) 728-5798 | Lansdowne Pediatric Dentistry 19415 Deerfield Ave Ste 304 Lansdowne VA 20176-8472 Ph: (517) 210-2771 |
| NPI Number | 1306622014 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306622014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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