Individual
DR. LIGIA S. REQUIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
4607 CONNECTICUT AVENUE, N.W.,, SUITE #109, WASHINGTON, DC 20008
(202) 966-1272
(202) 364-2993
Mailing address
4607 CONNECTICUT AVENUE, N.W.,, SUITE #109, WASHINGTON, DC 20008
(202) 966-1272
(202) 364-2993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEM5312
DC
1223P0700X
Prosthodontics
DEN5312
DC
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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