MEDICARE: DR. KIANA ROSTAMIANI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16984	MD

General Provider Information

NPI Number	:	1356959076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIANA ROSTAMIANI DDS

Provider Business Mailing Address
First Line	:	13515 DEERWATER DR
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2848
Country	:	US
Telephone Number	:	901-608-7370
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 FENTON ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4796
Country	:	US
Telephone Number	:	301-608-9800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2020
Last Update Date	:	07/20/2020

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