| NPI | 1073244539 |
|---|---|
| Doing Business As | GW HIGH SCHOOL DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARSHA MENDENHALL CEO 434-791-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |