| NPI | 1083045454 |
|---|---|
| Doing Business As | COMMUNITY HEALTHCARE CENTER-DENTAL |
| Doing Business As | PHYLLIS HIRAKI DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALLEN PATTERSON, CHIEF EXECUTIVE OFFICER CEO 940-766-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-04-06 |