NPI | 1053852525 |
---|---|
Doing Business As | RURAL HEALTH DENTAL SERVICES |
Entity Type | Organization |
Authorized Contact | CAROLYN EMANUEL- MCCLAIN CEO 803-380-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-03-16 |
Last Update Date | 2017-03-16 |