Organization
LIFE-ENHANCING DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN D LOCKLEAR DDS (PRESIDENT & CEO)
(202) 829-7600
Entity
Organization
Contact information
Practice address
437 CEDAR ST NW, WASHINGTON, DC 20012-1931
(202) 829-7600
(202) 726-9397
Mailing address
437 CEDAR ST NW, WASHINGTON, DC 20012-1931
(202) 829-7600
(202) 726-9397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5399
DC
124Q00000X
Dental Hygienist
HYG1000355
DC
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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