DC LIGHT DENTAL, PC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1144631706- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1331 PENNSYLVANIA AVE NW STE 502, WASHINGTON, DC, 200041771
- Phone
- (202) 347-0100
- Fax
- (202) 347-3703
Specialties & Taxonomies
Dentist, Pediatric Dentistry
License: DC #DEN1001330
Dentist, Oral and Maxillofacial Surgery
License: DC #DEN1001175
Dentist
Primary License: DC #DEN 100768