| NPI | 1073820023 |
|---|---|
| Other Name | COMMUNITYCARE--BEN WHITE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOY SLOAN CFO 512-978-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2024-07-11 |