Basic Information
| Provider Information | |||||||||
| NPI: | 1265932511 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DC DENTAL CENTER PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3950 NEBRASKA AVE STE C1 | ||||||||
| Address2: | |||||||||
| City: | LEVITTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190563375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157851100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1305 GOOD HOPE RD SE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200206909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025164860 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2018 | ||||||||
| LastUpdateDate: | 02/13/2018 | ||||||||
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| AuthorizedOfficialLastName: | ARORA | ||||||||
| AuthorizedOfficialFirstName: | VIKAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2678780645 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | Y | 193400000X SINGLE SPECIALTY GROUP | Dental Providers | Dentist | General Practice |
No ID Information.