Individual
DR. IVORY LATRICE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1026 16TH STREET NW, SUITE 105, WASHINGTON, DC 20036-5711
(202) 737-7025
(202) 737-7027
Mailing address
1026 16TH ST NW, SUITE 105, WASHINGTON, DC 20036-5715
(202) 737-7025
(202) 737-7027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14183
MD
Other
Enumeration date
05/14/2008
Last updated
07/23/2012
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