NPI 1003234360

Premiere Ortho-Pedo PLLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Washington, DC

Practice location

Address: 437 Cedar St NW, Washington, DC 20012-1931
Phone: (202) 725-7735
Mailing address: PO Box 55474, Washington, DC 20040-5474

Authorised official

Name: Marvin Bonfuan Ngwafon
Title: President
Phone: (202) 725-7735

Registered specialties (3)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence DEN1000997 (DC)

Other Dentist providers in District of Columbia →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence DEN1001349 (DC)

Orthodontics and Dentofacial Orthopedics Dentistry

Dental Providers Taxonomy 1223X0400X

Registry record

NPI: 1003234360
Entity type: Organization
NPI issued: 3 Apr 2014
Record last updated: 9 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.