Individual
MARK JUSTIN NUNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(515) 745-5368
Mailing address
440 PENN ST NE APT 1212, WASHINGTON, DC 20002-8394
(515) 745-5368
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401419812
VA
1223P0221X
Pediatric Dentistry
Primary
18115
MD
1223P0221X
Pediatric Dentistry
DEN2000241
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
01/15/2026
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