| Dr Ivan Sumitra Dds | |
|
2430 Rhode Island Ave Ne Washington DC 20018-2839 | |
| (202) 526-4618 | |
| Not Available |
| Full Name | Dr Ivan Sumitra Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2430 Rhode Island Ave Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Ivan Sumitra (OWNER) |
| Authorized Official Contact | 2025264618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivan Sumitra Dds 2430 Rhode Island Ave Ne Washington DC 20018-2839 Ph: (202) 526-4618 | Dr Ivan Sumitra Dds 2430 Rhode Island Ave Ne Washington DC 20018-2839 Ph: (202) 526-4618 |
| NPI Number | 1417358722 |
|---|---|
| Provider Enumeration Date | 09/07/2014 |
| Last Update Date | 09/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417358722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4040 (District Of Columbia) | Primary |
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