Organization
COMMUNITY CLINIC, INC
Active
Other names
CCI Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
PARASTOO GOLESTANI DDS (CHIEF DENTAL OFFICER)
(301) 340-7525
Entity
Organization
Contact information
Practice address
8630 FENTON STREET, SUITE 1200, SILVER SPRING, MD 20910
(301) 585-1250
(301) 585-1250
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14217
MD
261QF0400X
Federally Qualified Health Center (FQHC)
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Other
Enumeration date
10/08/2010
Last updated
10/23/2024
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