NPI | 1144378886 |
---|---|
Other Name | SEA MAR CHC TACOMA DENTAL (TACOMA CUSHMAN) |
Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARY BARTOLO Deputy Director 206-788-3224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
Additional Taxonomies | 122300000X Dentist |
1223G0001X Dentist, General Practice | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2025-01-31 |