Provider Demographics
NPI:1205992930
Name:FAMILY DENTAL CARE PC
Entity type:Organization
Organization Name:FAMILY DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLEMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-881-6708
Mailing Address - Street 1:121 CONGRESSIONAL LANE
Mailing Address - Street 2:#306
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20857
Mailing Address - Country:US
Mailing Address - Phone:301-881-6708
Mailing Address - Fax:301-881-0634
Practice Address - Street 1:121 CONGRESSIONAL LANE
Practice Address - Street 2:#306
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20857
Practice Address - Country:US
Practice Address - Phone:301-881-6708
Practice Address - Fax:301-881-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD115701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty