| NPI | 1629190756 |
|---|---|
| Doing Business As | DENNIS AVENUE CLINIC |
| Other Name | IMMUNIZATIONS DENNIS |
| Entity Type | Organization |
| Authorized Contact | JAMEELAH JOHNSON Manager 240-733-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2024-08-07 |