Organization
CLAIRE P. CARGILL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA BONNICK DDS (ADMINISTRATOR)
(301) 758-0154
Entity
Organization
Contact information
Practice address
1009 E ST SE, WASHINGTON, DC 20003-2847
(202) 547-2491
Mailing address
1009 E ST SE, WASHINGTON, DC 20003-2847
(202) 547-2491
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN5626
DC
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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