Provider Demographics
NPI:1023329901
Name:RETANA, ARMANDO (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:RETANA
Suffix:
Gender:M
Credentials:MD, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 M ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1495
Mailing Address - Country:US
Mailing Address - Phone:202-386-7100
Mailing Address - Fax:202-386-7555
Practice Address - Street 1:2311 M ST NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1495
Practice Address - Country:US
Practice Address - Phone:202-386-7100
Practice Address - Fax:202-386-7555
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD045052208600000X
OK32110208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery