Dental Professional Assoc Llc | |
1160 Varnum Street Ne Suite 006 Washington DC 20017-2110 | |
(202) 269-7103 | |
(202) 635-7145 |
Full Name | Dental Professional Assoc Llc |
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Speciality | Dentist |
Location | 1160 Varnum Street Ne, Washington, District Of Columbia |
Authorized Official Name and Position | Michael F Lamb (OWNER) |
Authorized Official Contact | 2022697103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Professional Assoc Llc 1160 Varnum Street Ne Suite 006 Washington DC 20017-2110 Ph: (202) 269-7103 | Dental Professional Assoc Llc 1160 Varnum Street Ne Suite 006 Washington DC 20017-2110 Ph: (202) 269-7103 |
NPI Number | 1306911094 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306911094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN4260 (District Of Columbia) | Primary |
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