NPI | 1083132849 |
---|---|
Doing Business As | ALTAMED DENTAL GROUP-WESTLAKE, 3RD STREET |
Entity Type | Organization |
Authorized Contact | ROBERT U. YOUNG VP, Patient Financial Services 323-622-2429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2022-07-21 |