| NPI | 1477073773 |
|---|---|
| Other Name | GREATER BADEN MEDICAL SERVICE AT CAPITOL HEIGHTS I - DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A KURCAB CFO 301-599-2172 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-06-15 |