Provider Demographics
NPI:1407248743
Name:ROCKVILLE DENTAL CARE
Entity Type:Organization
Organization Name:ROCKVILLE DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHIDCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-545-0060
Mailing Address - Street 1:50 W EDMONSTON DR STE 503
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1273
Mailing Address - Country:US
Mailing Address - Phone:301-545-0060
Mailing Address - Fax:301-545-0059
Practice Address - Street 1:50 W EDMONSTON DR STE 503
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1273
Practice Address - Country:US
Practice Address - Phone:301-545-0060
Practice Address - Fax:301-545-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD120441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty