| Elite Dental Takoma Park | |
|
6925 Willow Street Nw. Suite#b106 Washington DC 20012-2000 | |
| (202) 723-8284 | |
| (202) 882-1127 |
| Full Name | Elite Dental Takoma Park |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6925 Willow Street Nw., Washington, District Of Columbia |
| Authorized Official Name and Position | Khalfani D Walker (OWNER/DENTIST) |
| Authorized Official Contact | 2027238284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Takoma Park 6925 Willow Street Nw. Suite#b106 Washington DC 20012-2000 Ph: (202) 723-8284 | Elite Dental Takoma Park 6925 Willow Street Nw. Suite#b106 Washington DC 20012-2000 Ph: (202) 723-8284 |
| NPI Number | 1679819098 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679819098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14525 (Maryland) | Secondary |
| 261QD0000X | Clinic/center - Dental | (District Of Columbia) | Primary |
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