| Ps Dental Dc 1, P.c. | |
|
4740 Connecticut Ave Nw Apt 102 Washington DC 20008-5604 | |
| (410) 761-0095 | |
| (202) 364-3274 |
| Full Name | Ps Dental Dc 1, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4740 Connecticut Ave Nw Apt 102, Washington, District Of Columbia |
| Authorized Official Name and Position | Simone Wilson (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7327318398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ps Dental Dc 1, P.c. 1144 Hooper Ave Ste 301 Toms River NJ 08753-8361 Ph: (732) 731-8398 | Ps Dental Dc 1, P.c. 4740 Connecticut Ave Nw Apt 102 Washington DC 20008-5604 Ph: (410) 761-0095 |
| NPI Number | 1548962863 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548962863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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