| NPI | 1154488187 |
|---|---|
| Other Name | FAYETTE COUNTY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LUCINDA JEAN BAUGHN Executive Director 740-335-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-09-12 |