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 |