Provider Demographics
NPI:1619244852
Name:ROUHANIAN DENTAL PC
Entity Type:Organization
Organization Name:ROUHANIAN DENTAL PC
Other - Org Name:QUINCE ORCHARD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:MEHRAN
Authorized Official - Last Name:ROUHANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-637-9744
Mailing Address - Street 1:845 QUINCE ORCHARD BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1676
Mailing Address - Country:US
Mailing Address - Phone:301-527-2727
Mailing Address - Fax:
Practice Address - Street 1:845 QUINCE ORCHARD BLVD STE H
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:301-527-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental