| Pearson Pediatric Dentistry | |
|
2041 Martin Luther King Jr Ave Se Ste M11 Washington DC 20020-7000 | |
| (202) 889-5200 | |
| (202) 889-5731 |
| Full Name | Pearson Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2041 Martin Luther King Jr Ave Se Ste M11, Washington, District Of Columbia |
| Authorized Official Name and Position | Tarasha Pearson (MANAGING MEMBER) |
| Authorized Official Contact | 2028895200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearson Pediatric Dentistry 14709 Parson Weems Loop Woodbridge VA 22193-3261 Ph: (703) 583-1635 | Pearson Pediatric Dentistry 2041 Martin Luther King Jr Ave Se Ste M11 Washington DC 20020-7000 Ph: (202) 889-5200 |
| NPI Number | 1235604711 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235604711 | NPI | - | NPPES |
| 074575400 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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