| NPI | 1134892722 |
|---|---|
| Doing Business As | MOBILE DENTAL UNIT 2 |
| Entity Type | Organization |
| Authorized Contact | ARETHA R JONES CEO 843-722-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-10-28 |