Organization
PEOPLE'S COMMUNITY HEALTH CENTER -DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA S CASSATT SR. MS (CEO)
(410) 467-6040
Entity
Organization
Contact information
Practice address
3011 GREENMOUNT AVE, BALTIMORE, MD 21218-3939
(410) 467-6040
(410) 735-5897
Mailing address
2524 KIRK AVE, BALTIMORE, MD 21218-4826
(410) 467-6040
(410) 735-5897
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913904400
—
MD
Enumeration date
11/24/2006
Last updated
05/16/2008
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