| NPI | 1073329165 |
|---|---|
| Doing Business As | VHP FAMILY SMILES AT SOUTH SIDE |
| Entity Type | Organization |
| Authorized Contact | LOUIS FINNERTY Director, Strategic 570-614-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |