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Organization

YOHANNA

Active
Other names
Advacne Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUK TAEME D.D.S (DR.)
(202) 546-0690
Entity
Organization

Contact information

Practice address
701 K ST NE, SUITE 101, WASHINGTON, DC 20002-3657
(202) 546-0690
Mailing address
701 K ST NE, SUITE 101, WASHINGTON, DC 20002-3657
(202) 546-0690

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN1001090
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
059862600
DC
Enumeration date
06/27/2016
Last updated
06/27/2016
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