| NPI | 1134984537 |
|---|---|
| Other Name | MARIPOSA COMMUNITY HEALTH CENTER, INC. -DENTAL, NOGALES |
| Entity Type | Organization |
| Authorized Contact | DANIEL PREVOST Chief Executive Officer 520-761-2128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 261QD0000X Clinic/Center, Dental | |
| 122300000X Dentist | |
| 1223D0001X Dentist, Dental Public Health | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |