Most Relevant Information
Provider Data
| NPI Number: | 1003458571 |
| Provider Name: | DOMINIC TEBIT |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2019 |
| Last Updated: | 07/20/2023 |
Provider Practice Location
2010 RHODE ISLAND AVE NE
WASHINGTON
DC
200182835
Practice Location Phone/Fax
| Phone: | 2025263535 |
| Fax: |
Provider Mailing Location
9120 CRANDALL RD
LANHAM
MD
207061929
Provider Mailing Phone/Fax
| Phone: | 2406092863 |
| Fax: |