Dc Light Dental, Pc

NPI 1144631706 - Dentist - 1223P0221X

NPI Details
NPI 1144631706
Enumeration Date 05/16/2014
Last Updated 05/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JONG JONG
Position PRESIDENT
Phone (202) 347-0100
Fax (202) 347-3703
Practice Location
1331 PENNSYLVANIA AVE NW STE 502
WASHINGTON DC, 20004-1771, US
Phone (202) 347-0100
Fax (202) 347-3703
Business Location
1331 PENNSYLVANIA AVE NW STE 502
WASHINGTON DC, 20004-1771, US
Phone (202) 347-0100
Fax (202) 347-3703
Toxanomy
Taxonomy Code 1223P0221X
License State DO Columbia
License Number DEN1001330
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According to our database, Dc Light Dental, Pc NPI is 1144631706, taxonomy code is 1223P0221X and license number is DEN1001330, license state is located at DO Columbia. Dc Light Dental, Pc physically located at 1331 Pennsylvania Ave Nw Ste 502, Washington DC, 20004-1771. NPI Number 1033115704 has the healthcare provider type.

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1144631706 NPI number is provided on an as is basis without warranty of any kind. 1144631706 is maintained by the National Plan & Provider Enumeration System. The contents of Dc Light Dental, Pc are for informational purposes only.