| NPI | 1093136947 |
|---|---|
| Doing Business As | ANHSI-KING STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRI GOEMMER CFO 703-535-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2014-01-08 |