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Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization
Contact information
Practice address
5911 RIDGWAY AVE, ROCKVILLE, MD 20851-1931
(240) 740-3450
(301) 230-5929
Mailing address
401 HUNGERFORD DR FL 6, ROCKVILLE, MD 20850-4154
(240) 777-4520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
01/19/2024
Last updated
09/09/2025
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