Dr. Ali Reza Eghtesadi
Endodontist
8363 Cherry Ln
Laurel
, Maryland 20707-4831
Dr. Ali Reza Eghtesadi
Endodontist
8363 Cherry Ln
Laurel
, Maryland 20707-4831
(301) 412-2818
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Ali Reza Eghtesadi
- 13 Crownsgate Ct
- Germantown, MD
- Zip : 20874-4423
- Phone : (301) 412-2818
Second Address
- Dr. Ali Reza Eghtesadi
- 8363 Cherry Ln
- Laurel, MD
- Zip : 20707-4831
- Phone : (301) 980-8293
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 13566 | MD |
National Provider Identifier
| NPI | 1073713640 |
|---|---|
| Provider Name | Dr. Ali Reza Eghtesadi |
| First Address | Germantown, MD 20874-4423 |
| Second Address | Laurel, MD 20707-4831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2007 |
| Last Update Date | 09/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.