| Saint Elizabeths Hospital Dental Clinic | |
|
1100 Alabama Ave Se Washington DC 20032-4540 | |
| (202) 299-5610 | |
| Not Available |
| Full Name | Saint Elizabeths Hospital Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 Alabama Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Patrick J Canavan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2022995500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Elizabeths Hospital Dental Clinic 1100 Alabama Ave Se Washington DC 20032-4540 Ph: (202) 299-5610 | Saint Elizabeths Hospital Dental Clinic 1100 Alabama Ave Se Washington DC 20032-4540 Ph: (202) 299-5610 |
| NPI Number | 1033402136 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 05/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033402136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | HFD01-0230 (District Of Columbia) | Primary |
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