NPI | 1639930324 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMEELAH JOHNSON Manager 240-733-1121 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Additional Taxonomies | 261QP0905X Clinic/Center Public Health, State or Local |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-05-10 |