Organization
A GREAT SMILE DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE SAINT PHARD SHAW DDS (DENTIST)
(202) 726-5106
Entity
Organization
Contact information
Practice address
7826 EASTERN AVE NW, SUITE 301, WASHINGTON, DC 20012-1324
(202) 726-5106
Mailing address
7826 EASTERN AVE NW, SUITE 301, WASHINGTON, DC 20012-1324
(202) 726-5106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1000381
DC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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