Healthcare Provider Details

I. General information

NPI: 1629204862
Provider Name (Legal Business Name): ALI SARKARZADEH DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2009
Last Update Date: 06/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 ROCKVILLE PIKE SUITE 10
ROCKVILLE MD
20852-1658
US

IV. Provider business mailing address

1750 ROCKVILLE PIKE SUITE 10
ROCKVILLE MD
20852-1658
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-5400
  • Fax: 301-770-6642
Mailing address:
  • Phone: 301-770-5400
  • Fax: 301-770-6642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI SARKARZADEH
Title or Position: OWNER
Credential: DDS
Phone: 301-770-5400