| NPI | 1114344611 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600304660001) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2022-11-01 |