| NPI | 1124472402 |
|---|---|
| Other Name | CEDAR RIVERSIDE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SARAH NOOR CEO 612-332-4973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-06-06 |