| Life Bridge Dental Dc Pllc | |
|
600 Pennsylvania Ave Nw Washington DC 20580-0001 | |
| (212) 686-3686 | |
| (615) 468-0325 |
| Full Name | Life Bridge Dental Dc Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 Pennsylvania Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Kenneth Neil Sullivan (DIRECTOR OF PATIENT REVENUE) |
| Authorized Official Contact | 2126863686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Bridge Dental Dc Pllc 5505 N Cumberland Ave Ste 307 Chicago IL 60656-4761 Ph: (212) 686-3686 | Life Bridge Dental Dc Pllc 600 Pennsylvania Ave Nw Washington DC 20580-0001 Ph: (212) 686-3686 |
| NPI Number | 1174109425 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174109425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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