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General NPI Number Information
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NPI Number | 1962339341
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Entity Type | Organization
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Legal Business Name | DC PERIO& IMPLANTS
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1712 I ST NW STE 202
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City | WASHINGTON
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State | DC
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Zip | 20006-3744
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Country | US
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Telephone | 202-659-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 I ST NW STE 202
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City | WASHINGTON
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State | DC
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Zip | 20006-3744
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Country | US
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Telephone | 202-659-3500
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARIA TARRANCE-WATKINS
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Credential |
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Telephone | 202-659-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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