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Individual

AUGUSTINE PENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3925 MINNESOTA AVE NE FL 1, WASHINGTON, DC 20019-2662
(202) 396-1444
Mailing address
555 E ST SW APT 508, WASHINGTON, DC 20024-3265
(917) 498-8058

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN2000195
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/07/2022
Last updated
09/15/2022
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