Individual
MRS. VIDA LOLOEI MARSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010-2501
(202) 829-5437
(202) 829-9255
Mailing address
2221 E BIJOU ST STE 1002221E, COLORADO SPRINGS, CO 80909-8008
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15866
MD
1223G0001X
General Practice Dentistry
Primary
DEN1001602
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058298500
—
DC
05
—
119914500
—
MD
Enumeration date
01/07/2013
Last updated
06/13/2019
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