| NPI | 1720297278 |
|---|---|
| Other Name | GREATER BADEN MEDICAL SERVICE AT BRANDYWINE - 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 | 2007-05-22 |
| Last Update Date | 2024-07-10 |