Individual provider · Type 1 NPI
Atefeh Rezaei Boroun
Orthodontics and Dentofacial Orthopedics Dentistry · Rockville, MD
Practice location
14955 Shady Grove Rd Ste 310
Rockville, MD 20850-8718
Fax (240) 310-1546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 17161 (MD) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1598373383
Atefeh Rezaei Boroun's National Provider Identifier is 1598373383, issued on Jul 17, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Rockville, MD. The record was last updated on Oct 19, 2026.