Organization
DC PERIO& IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TARRANCE-WATKINS (PRACTICE MANAGER)
(202) 659-3500
Entity
Organization
Contact information
Practice address
1712 I ST NW STE 202, WASHINGTON, DC 20006-3744
(202) 659-3500
Mailing address
1712 I ST NW STE 202, WASHINGTON, DC 20006-3744
(202) 659-3500
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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