| Marvalous Smiles | |
|
1818 New York Ave Ne Suite #116 Washington DC 20002-1848 | |
| (202) 450-2344 | |
| (202) 450-2400 |
| Full Name | Marvalous Smiles |
|---|---|
| Speciality | Dentist |
| Location | 1818 New York Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Marva Jean Herring (DENTIST / OWNER) |
| Authorized Official Contact | 2408380415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvalous Smiles 1818 New York Ave Ne Suite #116 Washington DC 20002-1848 Ph: (202) 450-2344 | Marvalous Smiles 1818 New York Ave Ne Suite #116 Washington DC 20002-1848 Ph: (202) 450-2344 |
| NPI Number | 1851827497 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851827497 | NPI | - | NPPES |
| 060363900 | Medicaid | DC | |
| 1568776664 | Other | DC | NATIONAL PRACTITIONER IDENTIFIER (NPI) |
| 122300000X | Other | DC | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001 (District Of Columbia) | Primary |
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