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Oral Surgery, Dental Specialists

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Dental Care Facilities

Washington, District Of Columbia

Provider NPI: 1427331461

Organization Information:
Organization is not Subpart
Authorized Official:  JACQUELYN R WALKER  CEO/EXECUTIVE DIRECTOR  202-4252313

Practice Location:
Tel: 202-425-2313  Fax: 202-399-1570

Business Mailing Address:
Tel: 202-425-2313  Fax: 301-773-5209

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QM0801XAmbulatory Health Care Facilities
Mental Health (Including Community Mental Health Center)
N261QD0000XAmbulatory Health Care Facilities
Y261QF0400XAmbulatory Health Care Facilities


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