| NPI | 1881897544 |
|---|---|
| Doing Business As | PENTAGON TRI-SVC DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARCIA DICKSON Financial Mgmt Analyst 301-295-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2011-08-23 |