| NPI | 1619545068 |
|---|---|
| Doing Business As | K STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANA MARIE COLASANTO Manager 703-494-3176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |