| NPI | 1124633193 |
|---|---|
| Doing Business As | KINGS HIGHWAY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY HOPKINS Executive Director 937-586-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-12-21 |