Dental Dreams PLLC
Dentist, General Practice in Washington, DC. Organization (NPI-2).
NPI number1003166182
StatusActive
Last updated in NPPESMar 12, 2020
Details
- NPI
- 1003166182
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Dreams PLLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2012
- Certification date
- Mar 12, 2020
- Last updated
- Mar 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Dreams (Doing Business As)
Practice location
3925 Minnesota Ave NeWashington, DC 20019-2662
Phone 312-274-4526
Mailing address
430 W Erie StSte 200
Chicago, IL 60654-6914
Phone 312-274-4526 · Fax 312-944-9499
Authorized official
Phil Kural
Director Doctor Credentialing
3122744526
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