Organization
IVORY HANCOCK DMD,PC
Active
Other names
Presidential Dental group, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
IVORY HANCOCK DMD (DENTIST/OWNER)
(202) 737-7025
Entity
Organization
Contact information
Practice address
1026 16TH ST NW STE 105, WASHINGTON, DC 20036-5711
(202) 737-7025
Mailing address
1026 16TH ST NW STE 105, WASHINGTON, DC 20036-5711
(202) 737-7025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100722
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100722
LICENSE NUMBER
DC
Enumeration date
08/07/2018
Last updated
08/07/2018
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