Healthcare Provider Details

I. General information

NPI: 1427190917
Provider Name (Legal Business Name): MARIA CLAUDIA REY D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 12TH ST NW
WASHINGTON DC
20004-1200
US

IV. Provider business mailing address

555 12TH ST NW
WASHINGTON DC
20004-1200
US

V. Phone/Fax

Practice location:
  • Phone: 202-783-3368
  • Fax: 202-783-3361
Mailing address:
  • Phone: 202-783-3368
  • Fax: 202-783-3361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDEN5818
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: