# FAMILY FIRST DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710302690
- **Authorized official:** DR. LOUIS BWANA KALOMBO (DENTIST)
- **Authorized official phone:** (301) 505-2550

## Contact information

- **Practice address:** 803 SOUTHERN AVE, OXON HILL, MD 20745-3462
- **Practice address phone:** (301) 505-2550
- **Mailing address:** 803 SOUTHERN AVE, OXON HILL, MD 20745-3462
- **Mailing address phone:** (301) 505-2550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414224 | VA | — |
| 122300000X | Dentist | 15372 | MD | — |
| 122300000X | Dentist | DEN1001312 | DC | Yes |

## Other

- **Enumeration date:** 02/28/2014
- **Last updated:** 03/04/2014