| NPI | 1144957168 |
|---|---|
| Other Name | MONT CTY GOVT LHD DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMEELAH JOHNSON Manager 240-733-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-05-15 |