Individual
DR. SUNDAS IDREES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
(312) 274-4520
Mailing address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001499
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
06/04/2014
Last updated
07/23/2015
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