NPI | 1114044344 |
---|---|
Doing Business As | NORTHERN COUNTIES DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | PATRICK FLOOD Executive Director/CEO 802-748-9405 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2014-01-30 |