| NPI | 1003329574 |
|---|---|
| Doing Business As | CENTRACARE - DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLAIR CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-03-06 |