Organization
PETWORTH FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURY BRANCH III (OWNER)
(202) 829-4319
Entity
Organization
Contact information
Practice address
4018 GEORGIA AVE NW, WASHINGTON, DC 20011-5857
(202) 829-4319
Mailing address
4018 GEORGIA AVE NW, WASHINGTON, DC 20011-5857
(202) 829-4319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
DC
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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