| NPI | 1104769181 |
|---|---|
| Doing Business As | COMMUNITY DENTAL AND VISION CENTER OF WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | LORI BONALEWICZ Credentialing Specialist 724-201-8330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-08-18 |