NPI 1013512458
Montgomery County Maryland Government
Practice location
- Address
- 12900 Middlebrook Rd Fl 2, Germantown, MD 20874-2672
- Phone
- (240) 777-3290
- Mailing address
- 401 Hungerford Dr Fl 6, Rockville, MD 20850-4154
Authorised official
- Name
- Diana Azucena Cortez
- Title
- Management
- Phone
- (240) 672-6758
Registered specialties (2)
Dental Clinic/Center
Primary
State or Local Public Health Clinic/Center
Registry record
- NPI
- 1013512458
- Entity type
- Organization
- NPI issued
- 3 Dec 2020
- Record last updated
- 9 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.