Family Dental Care, Pllc | |
1647 Benning Rd Ne Suite 204 Washington DC 20002-4570 | |
(202) 396-2000 | |
(202) 396-2580 |
Full Name | Family Dental Care, Pllc |
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Speciality | Dentist - General Practice |
Location | 1647 Benning Rd Ne, Washington, District Of Columbia |
Authorized Official Name and Position | Colleen I Lloyd (OWNER) |
Authorized Official Contact | 2023962000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Dental Care, Pllc 1647 Benning Rd Ne Suite 204 Washington DC 20002-4570 Ph: (202) 396-2000 | Family Dental Care, Pllc 1647 Benning Rd Ne Suite 204 Washington DC 20002-4570 Ph: (202) 396-2000 |
NPI Number | 1386003838 |
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Provider Enumeration Date | 02/12/2016 |
Last Update Date | 02/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386003838 | NPI | - | NPPES |
025440700 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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