Saint Elizabeths Hospital Dental Clinic | |
1100 Alabama Ave Se Washington DC 20032-4540 | |
(202) 299-5610 | |
Not Available |
Full Name | Saint Elizabeths Hospital Dental Clinic |
---|---|
Speciality | Clinic/center - Dental |
Location | 1100 Alabama Ave Se, Washington, District Of Columbia |
Authorized Official Name and Position | Patrick J Canavan (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2022995500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Saint Elizabeths Hospital Dental Clinic 1100 Alabama Ave Se Washington DC 20032-4540 Ph: (202) 299-5610 | Saint Elizabeths Hospital Dental Clinic 1100 Alabama Ave Se Washington DC 20032-4540 Ph: (202) 299-5610 |
NPI Number | 1033402136 |
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Provider Enumeration Date | 05/23/2011 |
Last Update Date | 05/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033402136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | HFD01-0230 (District Of Columbia) | Primary |
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