| NPI | 1003446196 |
|---|---|
| Doing Business As | KINTEGRA MOBILE DENTISTRY-SOUTH |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ALEXANDER ANDERSON Business Service Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-03-16 |