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Organization
HOWARD UNIVERSITY
Active
Organization
HOWARD UNIVERSITY
Active
Other names
HU College of Dentistry Faculty Practice Plan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE E MITCHELL D.D.S. (CLINIC DIRECTOR)
(202) 806-0367
Entity
Organization
Contact information
Practice address
600 W ST NW, SUITE 454, WASHINGTON, DC 20059-1022
(202) 806-0367
(202) 806-0354
Mailing address
PO BOX 630321, HUCOD FACULTY PRACTICE PLAN, BALTIMORE, MD 21265-8321
(202) 806-0367
(202) 806-0354
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3906
DC
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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