| Sbwc Wheaton HS | |
|
12401 Dalewood Drive Silver Spring MD 20906 | |
| (240) 777-3495 | |
| Not Available |
| Full Name | Sbwc Wheaton HS |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12401 Dalewood Drive, Silver Spring, Maryland |
| Authorized Official Name and Position | Diana Azucena Cortez (MANAGEMENT) |
| Authorized Official Contact | 2406726758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbwc Wheaton HS 401 Hungerford Dr # 6th Rockville MD 20850-4154 Ph: (240) 777-4520 | Sbwc Wheaton HS 12401 Dalewood Drive Silver Spring MD 20906 Ph: (240) 777-3495 |
| NPI Number | 1740636216 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740636216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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