Organization
DR. HEYWARD BURRELL DENTAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEYWARD BURRELL DDS (PRESIDENT/CEO)
(202) 396-9679
Entity
Organization
Contact information
Practice address
2415 BENNING RD NE, WASHINGTON, DC 20002-4827
(202) 396-9679
Mailing address
2415 BENNING RD NE, WASHINGTON, DC 20002-4827
(202) 396-9679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2201
DC
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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