MEDICARE: DR. ABDUL KARIM JADUN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	4438	DC

General Provider Information

NPI Number	:	1689712168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL KARIM JADUN D.D.S.

Provider Business Mailing Address
First Line	:	2802 RHODE ISLAND AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2966
Country	:	US
Telephone Number	:	202-269-3387
Fax Number	:	202-269-4814

Provider Business Practice Location Address
First Line	:	2802 RHODE ISLAND AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-2966
Country	:	US
Telephone Number	:	202-269-3387
Fax Number	:	202-269-4814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	03/07/2018

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