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Organization

HOWARD UNIVERSITY COLLEGE OF DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANDREA D. JACKSON DDS, MS (ASSOCIATE DEAN FOR CLINICAL AFFAIRS)
(202) 806-0064
Entity
Organization

Contact information

Practice address
600 W ST. NW SUITE 326, WASHINGTON, DC 20059-0001
(202) 806-0066
(202) 806-0354
Mailing address
600 W ST. NW SUITE 326, WASHINGTON, DC 20059-0001
(202) 806-0066
(202) 806-0354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center
DEN4077
DC

Other

Enumeration date
05/27/2005
Last updated
07/22/2022
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