Organization
NKUTUKIRUNDA,DDS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED NKUTU KIRUNDA DDS (MEMBER)
(301) 273-8549
Entity
Organization
Contact information
Practice address
1145 19TH ST NW, SUITE 714, WASHINGTON, DC 20036-3701
(202) 775-1414
Mailing address
1506 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1460
(301) 273-8549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001679
DC
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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