Provider Demographics
NPI:1326924465
Name:MOIZZA RAJAN LLC
Entity type:Organization
Organization Name:MOIZZA RAJAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIZZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-690-0606
Mailing Address - Street 1:8005 GRAMERCY BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2448
Mailing Address - Country:US
Mailing Address - Phone:240-690-0606
Mailing Address - Fax:
Practice Address - Street 1:8005 GRAMERCY BLVD STE 170
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2448
Practice Address - Country:US
Practice Address - Phone:240-690-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty