| NPI | 1184122681 |
|---|---|
| Other Name | DISTRICT COSMETIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAUN ALEX Dentist 202-659-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |