| Dimples Dental Suite, Pc | |
|
2811 Pennsylvania Ave Se Suite 2 Washington DC 20020-3865 | |
| (202) 584-0710 | |
| (202) 575-3627 |
| Full Name | Dimples Dental Suite, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2811 Pennsylvania Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Takeisha Rochelle Presson (PRESIDENT) |
| Authorized Official Contact | 2022974592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimples Dental Suite, Pc 2811 Pennsylvania Ave Se Suite 2 Washington DC 20020-3865 Ph: (202) 584-0710 | Dimples Dental Suite, Pc 2811 Pennsylvania Ave Se Suite 2 Washington DC 20020-3865 Ph: (202) 584-0710 |
| NPI Number | 1477981926 |
|---|---|
| Provider Enumeration Date | 10/20/2013 |
| Last Update Date | 11/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477981926 | NPI | - | NPPES |
| 075593600 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN1000789 (District Of Columbia) | Primary |
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