Provider Demographics
NPI:1215023296
Name:AZGHANDI, RAMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:AZGHANDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19735 GERMANTOWN RD.
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874
Mailing Address - Country:US
Mailing Address - Phone:301-972-3311
Mailing Address - Fax:301-972-1822
Practice Address - Street 1:19735 GERMANTOWN RD.
Practice Address - Street 2:SUITE 250
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874
Practice Address - Country:US
Practice Address - Phone:301-972-3311
Practice Address - Fax:301-972-1822
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics