| NPI | 1467057539 |
|---|---|
| Other Name | DENNIS AVE DENTAL HIV CLINIC |
| Doing Business As | DENNIS AVE COMMUNICABLE DISEASE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMEELAH JOHNSON Manager 240-733-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-05-15 |