Individual
DR. PHILIP MARK MAIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2112 F ST NW, STE 605, WASHINGTON, DC 20037
(202) 466-4530
(202) 223-7590
Mailing address
2112 F ST NW, STE 605, WASHINGTON, DC 20037
(202) 466-4530
(202) 223-7590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3310
DC
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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