| NPI | 1619287638 |
|---|---|
| Doing Business As | CCI HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | PARASTOO GOLESTANI Chief Dental Officer 301-340-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14217) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2024-10-23 |