Organization
MISTY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK K EILAND DDS (PARTNER)
(202) 396-6100
Entity
Organization
Contact information
Practice address
419 34TH ST NE, WASHINGTON, DC 20019-1411
(202) 396-6100
Mailing address
419 34TH ST NE, WASHINGTON, DC 20019-1411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016932500
—
DC
Enumeration date
06/07/2010
Last updated
06/07/2010
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