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Organization
SAINT ELIZABETHS HOSPITAL DENTAL CLINIC
Active
Organization
SAINT ELIZABETHS HOSPITAL DENTAL CLINIC
Active
Parent organization
SAINT ELIZABETHS HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ELIZABETHS HOSPITAL
Authorized official
DR. PATRICK J CANAVAN PSY.D (CHIEF EXECUTIVE OFFICER)
(202) 299-5500
Entity
Organization
Contact information
Practice address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4540
(202) 299-5610
Mailing address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4540
(202) 299-5610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
HFD01-0230
DC
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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