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Organization
FORT DAVIS DENTAL ASSOCIATES, PLLC
Active
Organization
FORT DAVIS DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAIAH PURNELL MORRISON III D.D.S. (PRESIDENT)
(202) 889-8200
Entity
Organization
Contact information
Practice address
2300 GOOD HOPE RD SE, SUITE 3, WASHINGTON, DC 20020-5147
(202) 889-8200
(202) 889-5891
Mailing address
2300 GOOD HOPE RD SE, SUITE 3, WASHINGTON, DC 20020-5147
(202) 889-8200
(202) 889-5891
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN3045
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021929400
—
DC
Enumeration date
02/16/2012
Last updated
02/16/2012
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