DC SOUTHERN DENTAL PPO PC

WASHINGTON, DC
NPI1942013222
Entity TypeOrganization
Authorized ContactERIKA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-01-30
Last Update Date2025-01-30
Business Address
DC SOUTHERN DENTAL PPO PC
4400 MACARTHUR BLVD NW STE 200
WASHINGTON, DC 20007-2521
Phone number: 202-333-0003
Mailing Address
DC SOUTHERN DENTAL PPO PC
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number:
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