Family First Dental

NPI 1710302690 - Dentist - 122300000X

NPI Details
NPI 1710302690
Enumeration Date 02/28/2014
Last Updated 03/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LOUIS BWANA LOUIS
Position DENTIST
Phone (301) 505-2550
Fax
Practice Location
803 SOUTHERN AVE
OXON HILL MD, 20745-3462, US
Phone (301) 505-2550
Fax
Business Location
803 SOUTHERN AVE
OXON HILL MD, 20745-3462, US
Phone (301) 505-2550
Fax
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401414224
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According to our database, Family First Dental NPI is 1710302690, taxonomy code is 122300000X and license number is 0401414224, license state is located at Virginia. Family First Dental physically located at 803 Southern Ave, Oxon Hill MD, 20745-3462. NPI Number 1033115704 has the healthcare provider type.

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1710302690 NPI number is provided on an as is basis without warranty of any kind. 1710302690 is maintained by the National Plan & Provider Enumeration System. The contents of Family First Dental are for informational purposes only.