| Spa Dental Group Inc. | |
|
1201 I St Nw Ste 110a Washington DC 20005-6004 | |
| (202) 431-6957 | |
| Not Available |
| Full Name | Spa Dental Group Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1201 I St Nw Ste 110a, Washington, District Of Columbia |
| Authorized Official Name and Position | Shebani Pahwa (PRESIDENT/OWNER) |
| Authorized Official Contact | 3019103100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Dental Group Inc. 721 5th Ave Apt 37f New York NY 10022-2537 Ph: (202) 431-6957 | Spa Dental Group Inc. 1201 I St Nw Ste 110a Washington DC 20005-6004 Ph: (202) 431-6957 |
| NPI Number | 1861938789 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861938789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN1001562 (District Of Columbia) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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