| Good Hope Family Dental | |
|
2645 Naylor Rd Se Ste 102 Washington DC 20020-7255 | |
| (202) 581-7600 | |
| Not Available |
| Full Name | Good Hope Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2645 Naylor Rd Se Ste 102, Washington, District Of Columbia |
| Authorized Official Name and Position | Dereje Legesse Bereded (OWNER) |
| Authorized Official Contact | 2025817600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Hope Family Dental Po Box 4129 Arlington VA 22204-0129 Ph: (202) 581-7600 | Good Hope Family Dental 2645 Naylor Rd Se Ste 102 Washington DC 20020-7255 Ph: (202) 581-7600 |
| NPI Number | 1578735122 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578735122 | NPI | - | NPPES |
| 034492500 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN1000305 (District Of Columbia) | Primary |
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