| Modern Dentistry of Frederick | |
|
174 Thomas Johnson Dr Ste 200 Frederick MD 21702-4579 | |
| (301) 695-9446 | |
| Not Available |
| Full Name | Modern Dentistry of Frederick |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 174 Thomas Johnson Dr Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | Raheleh Makhmalbaf (DENTIST) |
| Authorized Official Contact | 4047236643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dentistry of Frederick 174 Thomas Johnson Dr Ste 200 Frederick MD 21702-4579 Ph: (301) 695-9446 | Modern Dentistry of Frederick 174 Thomas Johnson Dr Ste 200 Frederick MD 21702-4579 Ph: (301) 695-9446 |
| NPI Number | 1922898824 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922898824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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