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Organization

MONTGOMERY COUNTY MARYLAND GOVERNMENT

Active
Other names
Germantown Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA AZUCENA CORTEZ (MANAGEMENT)
(240) 672-6758
Entity
Organization

Contact information

Practice address
12900 MIDDLEBROOK RD FL 2, GERMANTOWN, MD 20874-2672
(240) 777-3290
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
12/03/2020
Last updated
09/09/2025
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