| NPI | 1821586553 |
|---|---|
| Doing Business As | EYE STREET DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LILY RAMOS Office Manager 202-223-3536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-03-14 |