09D2210614 CLIA NUMBER - DENNIS S O'LEARY DDS

Laboratory Demographics

CLIA Number: 09D2210614

Facility Name: DENNIS S O'LEARY DDS

Facility Address:
5840 MACARTHUR BLVD NW
WASHINGTON, DC
ZIP 20016
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Facility Phone Number: 202 966-8108

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1225184229

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	09D2210614
LAB Type	Practitioner Other
Facility Name	DENNIS S O'LEARY DDS
Street	5840 MACARTHUR BLVD NW
City	WASHINGTON
State	DC
ZIP	20016
Phone	202 966-8108
CertificateType	4
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024