Organization
SAINT ELIZABETHS HOSPITAL DENTAL CLINIC
Active
Parent organization
SAINT ELIZABETHS HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ELIZABETHS HOSPITAL
Authorized official
DR. PATRICK J CANAVAN PSY.D (CHIEF EXECUTIVE OFFICER)
(202) 299-5500
Entity
Organization
Contact information
Practice address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4540
(202) 299-5610
Mailing address
1100 ALABAMA AVE SE, WASHINGTON, DC 20032-4540
(202) 299-5610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
HFD01-0230
DC
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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