| Misty Dental Pllc | |
|
419 34th St Ne Washington DC 20019-1411 | |
| (202) 396-6100 | |
| (202) 388-0987 |
| Full Name | Misty Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 419 34th St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Derrick Kendill Eiland (DOCTOR/OWNER) |
| Authorized Official Contact | 2023966100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Dental Pllc 419 34th St Ne Washington DC 20019-1411 Ph: (202) 396-6100 | Misty Dental Pllc 419 34th St Ne Washington DC 20019-1411 Ph: (202) 396-6100 |
| NPI Number | 1033598131 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033598131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
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