Organization
WASHINGTON ORAL SURGERY CENTER, LLC
Active
Organization
WASHINGTON ORAL SURGERY CENTER, LLC
Active
Other names
Oral Surgery DC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADALYN PELT (INSRUANCE SPECIALIST)
(301) 341-0041
Entity
Organization
Contact information
Practice address
1357 GOOD HOPE RD SE, WASHINGTON, DC 20020-6909
(301) 341-0041
Mailing address
1357 GOOD HOPE RD SE, WASHINGTON, DC 20020-6909
(301) 341-0041
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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