| NPI | 1073973012 |
|---|---|
| Former Legal Business Name | MONOCACY HEALTH PARTNERS LLC |
| Doing Business As | FREDERICK HEALTH MEDICAL GROUP |
| Doing Business As | MONOCACY HEALTH PARTNERS DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAHAN CFO 240-566-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-01-24 |