Organization
FORT DAVIS DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAIAH PURNELL MORRISON III D.D.S. (PRESIDENT)
(202) 889-8200
Entity
Organization
Contact information
Practice address
2300 GOOD HOPE RD SE, SUITE 3, WASHINGTON, DC 20020-5147
(202) 889-8200
(202) 889-5891
Mailing address
2300 GOOD HOPE RD SE, SUITE 3, WASHINGTON, DC 20020-5147
(202) 889-8200
(202) 889-5891
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN3045
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021929400
—
DC
Enumeration date
02/16/2012
Last updated
02/16/2012
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