| NPI | 1073978664 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER COLUMBIA EAST |
| Entity Type | Organization |
| Authorized Contact | TERESA L PORTER Credentialing Manager 660-890-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-09-15 |