Quince Orchard Family Dentistry

LBN: Fariba Rafizadeh, D.M.D. P.A.
Quince Orchard Family Dentistry is an health care organization with primary practice located at 902 Wind River Ln Ste 204 , Gaithersburg MD 20878-1977. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Fariba Rafizadeh, D.M.D. P.A. can be contacted via phone (301) 948-5656, or through Rafizadeh, Fariba via phone (301) 948-5656.

Contact Information

Primary practice address
902 Wind River Ln Ste 204 Gaithersburg MD 20878-1977
Phone: (301) 948-5656
Fax: (301) 519-9164
Website:
Map and Directions
Authorized official contact:
Name: Rafizadeh, Fariba Doctor of Dental Medicine (DMD)
Phone: (301) 948-5656

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 12428 Maryland

Profile Details

NPI number 1366560716
LBN Legal business name Fariba Rafizadeh, D.M.D. P.A.
DBA Doing business as Quince Orchard Family Dentistry
Authorized official Rafizadeh, Fariba Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366560716 NPPES
Maryland Other 12428 MARYLAND STATE LICENSE

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