Organization
GEORGETOWN ORAND & MAX SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE UYEUNTEN (PRACTICE MANAGER)
(202) 364-9400
Entity
Organization
Contact information
Practice address
4400 JENIFER ST NW, SUITE 270, WASHINGTON, DC 20015-2113
(202) 364-9400
(202) 364-1511
Mailing address
4400 JENIFER ST NW, SUITE 270, WASHINGTON, DC 20015-2113
(202) 364-9400
(202) 364-1511
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN4886
DENTAL LICENSE
DC
Enumeration date
04/28/2010
Last updated
07/19/2022
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