Organization
WASHINGTON PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN FOSTER-JORDAN DDS (OWNER)
(202) 538-2933
Entity
Organization
Contact information
Practice address
8630 FENTON ST STE 718, SILVER SPRING, MD 20910-3812
(301) 388-8600
Mailing address
904 DELAFIELD PL NW, WASHINGTON, DC 20011-4516
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061343600
—
MD
Enumeration date
03/17/2018
Last updated
03/17/2018
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