Tomell Dubose Dds Pllc | |
5437 Conn Ave Nw Apt 203 Washington DC 20015-2706 | |
(202) 364-6550 | |
(202) 478-2894 |
Full Name | Tomell Dubose Dds Pllc |
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Speciality | Clinic/center - Dental |
Location | 5437 Conn Ave Nw Apt 203, Washington, District Of Columbia |
Authorized Official Name and Position | Tomell Dubose (CEO) |
Authorized Official Contact | 2023646550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tomell Dubose Dds Pllc 5437 Connecticut Ave Nw Apt 203 Washington DC 20015-2706 Ph: (202) 364-6550 | Tomell Dubose Dds Pllc 5437 Conn Ave Nw Apt 203 Washington DC 20015-2706 Ph: (202) 364-6550 |
NPI Number | 1962064295 |
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Provider Enumeration Date | 07/08/2019 |
Last Update Date | 07/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962064295 | NPI | - | NPPES |
12345 | Other | DC | PRIVATE PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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