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Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Other names
Mont Cty Govt LHD Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
8630 FENTON ST FL 10, SILVER SPRING, MD 20910-3806
(240) 777-0311
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
08/02/2022
Last updated
09/09/2025
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