Organization
ST JUDES DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUK E TAEME DDS (DR.)
(202) 226-9338
Entity
Organization
Contact information
Practice address
2802 RHODE ISLAND AVE NE # 1, WASHINGTON, DC 20018
(202) 269-3387
(202) 269-4814
Mailing address
2802 RHODE ISLAND AVE NE # 1, WASHINGTON, DC 20018-2998
(202) 269-3387
(202) 269-4814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001090
DC
Other
Enumeration date
11/28/2017
Last updated
06/25/2018
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