Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMEELAH JOHNSON (MANAGER)
(240) 733-1211
Entity
Organization
Contact information
Practice address
3100 REGINA DR, SILVER SPRING, MD 20906-5353
(240) 740-0720
(301) 460-2477
Mailing address
401 HUNGERFORD DR, 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
05/10/2024
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