Individual
AMMA BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3651 WINFIELD LN NW, WASHINGTON, DC 20007-2385
(267) 368-1259
Mailing address
3651 WINFIELD LN NW, WASHINGTON, DC 20007-2385
(267) 368-1259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417015
VA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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