| St. Elizabeths | |
|
1100 Alabama Ave Se Washington DC 20032-4542 | |
| (202) 299-5100 | |
| Not Available |
| Full Name | St. Elizabeths |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 Alabama Ave Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Bert Hall (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2022995100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeths 915 Silver Spring Ave Silver Spring MD 20910-5052 Ph: () - | St. Elizabeths 1100 Alabama Ave Se Washington DC 20032-4542 Ph: (202) 299-5100 |
| NPI Number | 1891341210 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891341210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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