NPI 1003067778

Tomell Lemart Dubose

Practitioner Dentist Washington, DC

Practice location

Address: 5437 Connecticut Ave NW 203, Washington, DC 20015-2770
Phone: (202) 364-6550
Fax: (202) 364-7297

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5980 (DC)

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Registry record

NPI: 1003067778
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

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.