NPI | 1023147220 |
---|---|
Doing Business As | FAMILY DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | CHRISITINE TROTTER Chief Executive Officer 509-865-6175 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2025-03-17 |