| Dc Southern Dental Ppo Pc | |
|
4400 Macarthur Blvd Nw Ste 200 Washington DC 20007-2521 | |
| (202) 333-0003 | |
| Not Available |
| Full Name | Dc Southern Dental Ppo Pc |
|---|---|
| Speciality | Dentist |
| Location | 4400 Macarthur Blvd Nw Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Erika Menjivar (SR. CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4695966137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Southern Dental Ppo Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | Dc Southern Dental Ppo Pc 4400 Macarthur Blvd Nw Ste 200 Washington DC 20007-2521 Ph: (202) 333-0003 |
| NPI Number | 1942013222 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942013222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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