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Organization
COMMUNITY CLINIC, INC
Active
Organization
COMMUNITY CLINIC, INC
Active
Other names
CCI Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA BRIGHTLEY (LEAD CREDENTIALING SPECIALIST)
(240) 297-6758
Entity
Organization
Contact information
Practice address
7615 ORA GLEN DRIVE, GREENBELT, MD 20770
(866) 877-7258
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/13/2024
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