Organization
DIMPLES DENTAL SUITE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAKEISHA ROCHELLE PRESSON D.D.S. (PRESIDENT)
(202) 297-4592
Entity
Organization
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, SUITE 2, WASHINGTON, DC 20020-3865
(202) 584-0710
(202) 575-3627
Mailing address
2811 PENNSYLVANIA AVE SE, SUITE 2, WASHINGTON, DC 20020-3865
(202) 584-0710
(202) 575-3627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1000789
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075593600
—
DC
Enumeration date
10/20/2013
Last updated
11/25/2016
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