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Organization

4900 DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PRIYA GREWAL DDS (OWNER DENTIST)
(925) 407-5263
Entity
Organization

Contact information

Practice address
4900 MASSACHUSETTS AVE NW STE 200, WASHINGTON, DC 20016-4358
(202) 244-5900
Mailing address
4900 MASSACHUSETTS AVE NW STE 200, WASHINGTON, DC 20016-4358
(925) 407-5263

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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