Organization
DR IVAN SUMITRA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN SUMITRA DDS (OWNER)
(202) 526-4618
Entity
Organization
Contact information
Practice address
2430 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2839
(202) 526-4618
Mailing address
2430 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2839
(202) 526-4618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4040
DC
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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