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Organization
SPA DENTAL GROUP INC.
Active
Organization
SPA DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEBANI PAHWA D.D.S (PRESIDENT/OWNER)
(301) 910-3100
Entity
Organization
Contact information
Practice address
1201 I ST NW STE 110A, WASHINGTON, DC 20005-6004
(202) 431-6957
Mailing address
721 5TH AVE APT 37F, NEW YORK, NY 10022-2537
(202) 431-6957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN1001562
DC
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
11/19/2019
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