Shahram Modarres Pc - Dental Clinic/Center in Rockville, Maryland | ProviderWire

Legal Business Name

Shahram Modarres Pc

NPI Number

1851867527

NPI Type

Organization

Enumeration Date

10/19/2018

Specialties

(Taxonomies)

Name

Dental Clinic/Center

Code

261QD0000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

5822 HUBBARD DR

5822 HUBBARD DR

City

Rockville

Rockville

State

MD

MD

Postal Code

20852-4818

20852-4818

Country

US

US

Telephone Number

(301) 816-9400

(301) 816-9400

Authorized Official

Name

Dr. Shahram Modarres

Title or Position

DENTIST

Telephone Number

(301) 816-9400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/19/2018

Provider Address

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