Organization
HERO DENTAL OF WASHINGTON DC PC
Active
Other names
Adventure Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
1060 BRENTWOOD RD. NE, STE B-1, WASHINGTON, DC 20018
(202) 269-4746
(202) 269-6994
Mailing address
2221 E BJOU ST, ST 100, COLORADO SPRINGS, DC 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039442400
—
DC
Enumeration date
01/22/2008
Last updated
10/22/2019
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