Organization
LS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAELAYE B SHIMELES D.D.S. (PRESIDENT)
(202) 290-3934
Entity
Organization
Contact information
Practice address
1330 NEW HAMPSHIRE AVE NW, NW STE # B3, WASHINGTON, DC 20036-6350
(202) 290-3934
Mailing address
1330 NEW HAMPSHIRE AVE NW, NW STE # B3, WASHINGTON, DC 20036-6350
(202) 290-3934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1001403
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
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Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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