Organization
MARY'S CENTER FOR MATERNAL AND CHILD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BAN (CHIEF EXECUTIVE OFFICER)
(202) 483-8196
Entity
Organization
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 420-3000
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 420-3000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037536500
—
DC
01
—
037564900
OTHER PRACTICE LOCATION
DC
05
—
410505200
—
MD
Enumeration date
05/24/2007
Last updated
04/27/2026
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