Organization
MARY'S CENTER FOR MATERNAL & CHILD CARE, INC- ROOSEVELT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE MARGARETA POWELL-DAVIS (CHIEF MEDICAL OFFICER)
(202) 424-2655
Entity
Organization
Contact information
Practice address
4301 13TH ST NW, WASHINGTON, DC 20011-5629
(202) 483-8196
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 420-7175
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
09/29/2025
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