Individual
DR. CHARLES PORVAZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2021 K ST NW, SUITE 720, WASHINGTON, DC 20006
(202) 331-7474
(202) 331-0262
Mailing address
2021 K ST NW, SUITE 720, WASHINGTON, DC 20006
(202) 331-7474
(202) 331-0262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1000269
DC
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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