NPI | 1669992814 |
---|---|
Other Name | GREATER BADEN MEDICAL SERVICE AT OXON HILL - DENTAL |
Entity Type | Organization |
Authorized Contact | JEFFREY A KURCAB CFO 301-599-2172 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2024-07-10 |