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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