Organization
INTERNATIONAL DENTAL ASSOC. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD TIPPTON BUFORD III DDS (DENTIST)
(202) 667-8818
Entity
Organization
Contact information
Practice address
1209 U STREET N.W, WASHINGTON, DC 20009
(202) 667-8818
(202) 667-1024
Mailing address
P.O BOX 8831, SILVER SPRING, MD 20907
(202) 667-8818
(202) 667-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
734004056
DC
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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