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Organization

HERO DENTAL OF WASHINGTON DC PC

Active
Parent organization
HERO DENTAL OF WASHINGTON DC PC
Other names
Adventure Dental and Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
HERO DENTAL OF WASHINGTON DC PC
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization

Contact information

Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010-2501
(202) 829-5437
(202) 829-9255
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078727500
DC
Enumeration date
07/29/2014
Last updated
09/09/2025
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