| NPI | 1134954506 |
|---|---|
| Doing Business As | PCC DENTAL & SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALYSSA SIANGHIO President And CEO 708-524-7686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-04-17 |