NPI | 1134608581 |
---|---|
Doing Business As | PRESIDENTIAL DENTAL GROUP, PLLC |
Entity Type | Organization |
Authorized Contact | IVORY HANCOCK Dentist/Owner 202-737-7025 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC 100722) |
Enumeration Date | 2018-08-07 |
Last Update Date | 2018-08-07 |