Presidential Pediatric Dentistry & Orthodontics | |
350 Eastern Ave Ne Washington DC 20019-2833 | |
(202) 248-6288 | |
(202) 248-6330 |
Full Name | Presidential Pediatric Dentistry & Orthodontics |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 350 Eastern Ave Ne, Washington, District Of Columbia |
Authorized Official Name and Position | Kidanemariam Rozario (PRACTICE MANAGER) |
Authorized Official Contact | 2022486288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Presidential Pediatric Dentistry & Orthodontics 350 Eastern Ave Ne Washington DC 20019-2833 Ph: (202) 248-6288 | Presidential Pediatric Dentistry & Orthodontics 350 Eastern Ave Ne Washington DC 20019-2833 Ph: (202) 248-6288 |
NPI Number | 1114453610 |
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Provider Enumeration Date | 05/04/2017 |
Last Update Date | 05/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114453610 | NPI | - | NPPES |
058025400 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DEN1001643 (District Of Columbia) | Primary |
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