Organization · Type 2 NPI
Tomell Dubose DDS PLLC
Dental Clinic/Center · Washington, DC
NPI number
1962064295
Active
Practice location
5437 Conn Ave NW Apt 203
Washington, DC 20015-2706
Fax (202) 478-2894
Mailing address
5437 Connecticut Ave NW Apt 203
Washington, DC 20015-2706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1962064295
Tomell Dubose DDS PLLC's National Provider Identifier is 1962064295, issued on Jul 8, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2019.