Organization
ADVANCED PERIODONTICS OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSTIN LEVY DMD (OWNER)
(202) 524-4863
Entity
Organization
Contact information
Practice address
1145 19TH ST NW STE 510, WASHINGTON, DC 20036-3715
(202) 524-4863
(202) 524-4864
Mailing address
1145 19TH ST NW STE 510, WASHINGTON, DC 20036-3715
(202) 524-4863
(202) 524-4864
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DEN6003
DC
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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