Organization
COMPREHENSIVE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOSTROV DMD (DOCTOR/OWNER)
(202) 466-3599
Entity
Organization
Contact information
Practice address
1901 PENNSYLVANIA AVE NW, SUITE905, WASHINGTON, DC 20006-3405
(202) 466-3599
Mailing address
1901 PENNSYLVANIA AVE NW, SUITE905, WASHINGTON, DC 20006-3405
(202) 466-3599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1000589
DC
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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