Individual
LAUREN DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 WISCONSIN AVE NW, WASHINGTON, DC 20015-2014
(202) 237-7000
Mailing address
5225 WISCONSIN AVE NW, WASHINGTON, DC 20015-2014
(202) 237-7000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HYG1923
DC
Other
Enumeration date
05/20/2012
Last updated
05/20/2012
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