Organization
QSDC, LLC
Active
Other names
Quiet 17 Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP OH DDS (DENTIST)
(202) 868-0220
Entity
Organization
Contact information
Practice address
1300 2ND ST NE, SUITE A-1, WASHINGTON, DC 20002-3494
(202) 868-0220
Mailing address
26 HANOVER PL NW, WASHINGTON, DC 20001-1253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001050
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057828700
—
DC
Enumeration date
02/18/2016
Last updated
08/09/2016
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