Organization
CABS DENTAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALLACE SAUNDERS JR. DDS (SECRETARY)
(202) 397-1445
Entity
Organization
Contact information
Practice address
4214 BENNING RD. N.E., WASHINGTON, DC 20019-4518
(202) 357-1445
(202) 399-8949
Mailing address
4214 BENNING RD. N.E., WASHINGTON, DC 20019-4518
(202) 357-1445
(202) 399-8949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2111
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021914800
—
DC
Enumeration date
11/17/2010
Last updated
11/17/2010
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