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Organization

ELITE DENTAL TAKOMA PARK

Active
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Organization

ELITE DENTAL TAKOMA PARK

Active
Other names
Georgia Avenue Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHALFANI D WALKER DMD (OWNER/DENTIST)
(202) 723-8284
Entity
Organization

Contact information

Practice address
6925 WILLOW STREET NW., SUITE#B106, WASHINGTON, DC 20012-2000
(202) 723-8284
(202) 882-1127
Mailing address
6925 WILLOW STREET NW., SUITE#B106, WASHINGTON, DC 20012-2000
(202) 723-8284
(202) 882-1127

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14525
MD
261QD0000X
Dental Clinic/Center
Primary
—
DC

Other

Enumeration date
12/13/2012
Last updated
06/26/2018
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