NPI | 1013590744 |
---|---|
Doing Business As | CAMDEN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARGARET HICKEY CEO 304-226-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-30 |
Last Update Date | 2024-05-08 |