IndividualActive
Marla Kush Prokop, DMD
NPI 1386715738 · Pediatric Dentistry · Washington, DC
Provider details
- NPI number
- 1386715738
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1000193 (DC)
Specialties & taxonomies
Dental Providers
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2978
Phone: (202) 884-3033
Approximate (ZIP-level) locationGet directions
Mailing address
111 Michigan Ave Nw
Washington, DC 20010-2978
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.