Organization
LOVITROIS DENTAL LLC
Active
Other names
FAMILY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS B KALOMBO DDS (OWNER)
(703) 282-8347
Entity
Organization
Contact information
Practice address
2316 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-6706
(202) 525-5464
Mailing address
5473 ANNE LY LN, ALEXANDRIA, VA 22310-1878
(703) 282-8347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069557500
—
DC
01
—
1053749119
NPPES
DC
Enumeration date
12/06/2018
Last updated
12/06/2018
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