Organization
MONTGOMERY COUNTY MARYLAND GOVERNMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA CORTEZ (MANAGER)
(240) 777-1211
Entity
Organization
Contact information
Practice address
CRESTHAVEN ES DENTAL CLINIC 1234 CRESTHAVEN DR, SILVER SPRING, MD 20903
(240) 740-0580
(301) 431-7660
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
06/27/2024
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