Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEELAH JOHNSON (MANAGER)
(240) 773-1211
Entity
Organization
Contact information
Practice address
19001 WATKINS MILL RD, MONTGOMERY VILLAGE, MD 20886-6910
(240) 740-5280
(301) 840-5319
Mailing address
101 MONROE ST, ROCKVILLE, MD 20850-2503
(240) 777-2500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
05/07/2024
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