| Kids Dental Anesthesia Services | |
|
1800 K St Nw Ste 1104 Washington DC 20006-2235 | |
| (877) 459-8450 | |
| (877) 460-0720 |
| Full Name | Kids Dental Anesthesia Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 K St Nw Ste 1104, Washington, District Of Columbia |
| Authorized Official Name and Position | Grace Velasquez (PRACTICE MANAGER) |
| Authorized Official Contact | 8774598450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Anesthesia Services 645 Sweetwater Rd Spring Valley CA 91977-5628 Ph: (619) 964-0750 | Kids Dental Anesthesia Services 1800 K St Nw Ste 1104 Washington DC 20006-2235 Ph: (877) 459-8450 |
| NPI Number | 1710473897 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710473897 | NPI | - | NPPES |
| 018242192 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN1001749 (District Of Columbia) | Primary |
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