| Premiere Ortho-pedo Pllc | |
|
437 Cedar St Nw Washington DC 20012-1931 | |
| (202) 725-7735 | |
| Not Available |
| Full Name | Premiere Ortho-pedo Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 437 Cedar St Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Marvin Bonfuan Ngwafon (PRESIDENT) |
| Authorized Official Contact | 2027257735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Ortho-pedo Pllc Po Box 55474 Washington DC 20040-5474 Ph: (202) 725-7735 | Premiere Ortho-pedo Pllc 437 Cedar St Nw Washington DC 20012-1931 Ph: (202) 725-7735 |
| NPI Number | 1003234360 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003234360 | NPI | - | NPPES |
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